Individual provider · Type 1 NPI

Andrew Thomas Lacek, CRNA

Registered Nurse · Springfield, MO

NPI number 1114707866 Active

Practice location

3660 S Cox Ave Apt 1206
Springfield, MO 65807-6927

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2022009916 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1114707866

Andrew Thomas Lacek, CRNA's National Provider Identifier is 1114707866, issued on Oct 2, 2023. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Springfield, MO. The record was last updated on Oct 2, 2023.