Individual
LACEY LANSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 634-4878
Mailing address
1915 STRASSNER RD, HERMANN, MO 65041-4417
(573) 418-4675
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2024000882
MO
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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