Individual
CORTNEY LYNN LACEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5129 DIXIE HWY STE 201, LOUISVILLE, KY 40216-1727
(502) 430-6223
(502) 369-5229
Mailing address
4300 BLEVINS GAP RD, LOUISVILLE, KY 40272-2072
(502) 376-3696
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011251
KY
363LF0000X
Family Nurse Practitioner
3011251
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100583060
—
KY
Enumeration date
11/09/2017
Last updated
03/20/2019
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