Individual
LACY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014017
IL
Other
Enumeration date
03/23/2016
Last updated
07/22/2022
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