NPI | 1801147715 |
---|---|
Professional Name | LANA LYNN LACY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TN 3788) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MS P327162) |
164W00000X Licensed Practical Nurse (Licence: AL 2-046662) | |
Enumeration Date | 2012-10-02 |
Last Update Date | 2016-04-05 |