Individual provider · Type 1 NPI

Lisa Renee Lackey, APRN

Family Nurse Practitioner · Albuquerque, NM

NPI number 1104122647 Active

Practice location

6701 Jefferson St NE
Albuquerque, NM 87109-4318

Other practice locations

  • 1423 E Roosevelt Ave, Grants, NM 87020-2245 · (505) 287-6500
  • 56 N Pecos Rd, Henderson, NV 89074-7331 · (702) 877-5199

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X818418 (NV)
Family Nurse Practitioner Primary 363LF0000XCNP-01735 (NM)

Family Nurse Practitioner: Definition to come...

46 other providers at this address

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About NPI 1104122647

Lisa Renee Lackey, APRN's National Provider Identifier is 1104122647, issued on Feb 1, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Albuquerque, NM. The record was last updated on Dec 6, 2024.