Individual
MELINDA MICHELLE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
2820 E ROCK HAVEN RD STE 210, HARRISONVILLE, MO 64701-4414
(816) 380-7470
(816) 380-3291
Mailing address
2820 E ROCK HAVEN RD STE 210, HARRISONVILLE, MO 64701-4414
(816) 380-7470
(816) 380-3291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014031475
MO
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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