Individual
MRS. LACCEY LOUISE CRIMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 573-3101
(515) 574-6754
Mailing address
2476 170TH ST, FORT DODGE, IA 50501-8555
(515) 408-5155
(515) 574-6754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A162720
IA
363LF0000X
Family Nurse Practitioner
A162720
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F01210805
—
IA
Enumeration date
01/27/2021
Last updated
03/04/2022
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