Individual provider · Type 1 NPI
Crystal A. Lacy
Family Nurse Practitioner · Willowbrook, IL
NPI number
1194494823
Active
Practice location
40 75th St
Willowbrook, IL 60527-2325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209023978 (IL) |
| Family Nurse Practitioner | 363LF0000X | 209.023978 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194494823
Crystal A. Lacy's National Provider Identifier is 1194494823, issued on Sep 7, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Willowbrook, IL. The record was last updated on Nov 12, 2021.