Individual
JANICE E LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN ANP BC NPP
Contact information
Practice address
110 HO PLZ, ITHACA, NY 14853-3102
(607) 255-6106
(607) 254-3503
Mailing address
110 HO PLZ, ITHACA, NY 14853-3102
(607) 255-6106
(607) 254-3503
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
3173951
NY
363L00000X
Nurse Practitioner
Primary
F3014051
NY
363LA2200X
Adult Health Nurse Practitioner
F3014051
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F4010201
NY
Other
Enumeration date
06/20/2006
Last updated
02/17/2021
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