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1912258302
LACEY HAMILTON
LEBANON, IN
NPI
1912258302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28168869A)
Enumeration Date
2012-09-25
Last Update Date
2020-10-29
Business Address
LACEY HAMILTON NP
416 W CAMP ST
LEBANON, IN 46052-1799
Phone number: 765-742-1567
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Mailing Address
LACEY HAMILTON NP
1716 HARTFORD ST
LAFAYETTE, IN 47904-2173
Phone number: 765-742-1567
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