Individual
LACI L THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
105 BROADWAY ST, VINCENNES, IN 47591-1251
(812) 790-2599
(812) 790-9004
Mailing address
15549 LAKE LAWRENCE RD, LAWRENCEVILLE, IL 62439-4722
(618) 928-1530
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041348592
IL
163W00000X
Registered Nurse
28177544A
IN
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
041348592
IL
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
28177544A
IN
363LF0000X
Family Nurse Practitioner
209026582
IL
363LF0000X
Family Nurse Practitioner
Primary
71013870A
IN
363LF0000X
Family Nurse Practitioner
71013870B
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71013870A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041348592
STATE BOARD OF NURSING
IL
01
—
209026582
STATE BOARD OF NURSING
IL
01
—
28177544A
STATE BOARD OF NURSING
IN
01
—
71013870A
STATE BOARD OF NURSING
IN
Enumeration date
06/28/2022
Last updated
04/02/2026
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