| NPI | 1992107296 |
|---|---|
| Professional Name | AASTASSHIA LYNN LACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R187768) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024172066) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2024-10-17 |