| NPI | 1851816656 |
|---|---|
| Other Name | LACEY DIANE MEHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN E08170009) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IN F06170594) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-09-10 |