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LACY C BIRDSEYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
187 FOREST AVE, FAIRFIELD, CT 06824-6573
(203) 255-0695
(203) 255-0629
Mailing address
187 FOREST AVE, FAIRFIELD, CT 06824-6573
(530) 519-5229

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004853
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
004853
CT

Other

Enumeration date
12/29/2011
Last updated
12/22/2016
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