Individual provider · Type 1 NPI

Traci Lacy

Licensed Practical Nurse · Plymouth Meeting, PA

NPI number 1356501936 Active

Practice location

2250 Hickory Rd
Plymouth Meeting, PA 19462-1047

Call (610) 834-1122 Map

Mailing address

11410 Dunshire Dr
Indianapolis, IN 46229-2873

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27050962A (IN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1356501936

Traci Lacy's National Provider Identifier is 1356501936, issued on Jun 17, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plymouth Meeting, PA. The record was last updated on Jun 17, 2008.