Individual
MRS. AASTASSHIA LYNN LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3030 GREENMOUNT AVE, BALTIMORE, MD 21218-4991
(410) 870-9567
(410) 934-1100
Mailing address
3030 GREENMOUNT AVE, BALTIMORE, MD 21218-4991
(410) 870-9567
(410) 934-1100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024172066
VA
363LF0000X
Family Nurse Practitioner
Primary
R187768
MD
Other
Enumeration date
09/18/2014
Last updated
01/29/2026
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