Individual provider · Type 1 NPI
Regina Marie Lacey, NP-C
Family Nurse Practitioner · Lawrenceville, GA
NPI number
1326396193
Active
Practice location
631 Professional Dr Ste 120
Lawrenceville, GA 30046-3370
Mailing address
3963 Savannah Square St
Suwanee, GA 30024-6790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN162306 (GA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1326396193
Regina Marie Lacey, NP-C's National Provider Identifier is 1326396193, issued on Aug 27, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lawrenceville, GA. The record was last updated on Apr 6, 2017.