| NPI | 1083258966 | 
|---|---|
| Former Name | LACEY LEANN LITTERAL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032631) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 232202) | 
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032631) | |
| Enumeration Date | 2019-11-04 | 
| Last Update Date | 2024-09-10 |