TAYLOR LACKEY
Nurse Practitioner - Psychiatric/Mental Health
Active
Individual
NPI: 1083479539
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | No | 15030 (WI) |
| Nurse Practitioner - Psychiatric/Mental Health | 363LP0808X | Yes | 15030 (WI) |
Frequently Asked Questions
NPI 1083479539 is the National Provider Identifier for TAYLOR LACKEY, a Nurse Practitioner - Psychiatric/Mental Health provider located in Menasha, WI. This NPI was enumerated on February 14, 2024.
TAYLOR LACKEY practices at 1095 MIDWAY RD, Menasha, WI 54952.
Quick Facts
- NPI
- 1083479539
- Type
- Individual
- Enumerated
- Feb 14, 2024
- Last Updated
- Nov 6, 2025
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