Individual
LEA NICOLE LACEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9270 GUNSTON RD, WELCOME, MD 20693-3223
(240) 299-4036
Mailing address
10801 BRITTANY LN, LA PLATA, MD 20646-3530
(240) 299-4036
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R200588
MD
Other
Enumeration date
08/01/2017
Last updated
08/20/2020
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