SUSAN GENE LACEY

JOPLIN, MO
NPI1871693853
Former NameSUSAN GENE ELMORE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  129117)
Enumeration Date2006-09-22
Last Update Date2012-02-17
Business Address
Mrs. SUSAN GENE LACEY RNC MSN WHNP
1905 W 32ND STREET SUITE 306
JOPLIN, MO 64804-1512
Phone number: 417-624-2111
Mailing Address
Mrs. SUSAN GENE LACEY RNC MSN WHNP
PO BOX 2067
JOPLIN, MO 64804-2067
Phone number: 417-624-2111