Individual
MRS. LACYE JEAN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
224 WEST D. L. INGRAM AVENUE, BLDG 1408, CANNON AFB, NM 88103
(575) 784-2778
(575) 784-2308
Mailing address
224 WEST D. L. INGRAM AVENUE, BLDG 1408, CANNON AFB, NM 88103
(575) 784-2778
(575) 784-2308
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
R46793
NM
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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