ELLISA LACY, LPN

Licensed Practical Nurse

Active Individual
NPI: 1619319886

Practice Address

3435 N WOLVERINE DR
Wasilla, AK 99654

Phone: (907) 631-3830

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 6962 (AK)

Frequently Asked Questions

NPI 1619319886 is the National Provider Identifier for ELLISA LACY, LPN, a Licensed Practical Nurse provider located in Wasilla, AK. This NPI was enumerated on July 29, 2013.
ELLISA LACY, LPN practices at 3435 N WOLVERINE DR, Wasilla, AK 99654.

Quick Facts

NPI
1619319886
Type
Individual
Enumerated
Jul 29, 2013
Last Updated
Jul 29, 2013

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