Individual
LACY R. GAYDA
Active
Individual
LACY R. GAYDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
132410
TN
163W00000X
Registered Nurse
594359-01
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
75340
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132410
RN LICENSE
TN
01
—
594359-01
RN LICENSE
NY
01
—
75340
CERTIFIED REGISTERED NURSE ANESTHETIST
—
Enumeration date
07/17/2006
Last updated
08/21/2025
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