Individual provider · Type 1 NPI
Laurie Leigh Lackland, ANP
Adult Health Nurse Practitioner · Prescott, AZ
NPI number
1376895961
Active
Practice location
1065 Ruth St
Prescott, AZ 86301-1729
Mailing address
PO Box 2104
Prescott, AZ 86302-2104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | AP4680 (AZ) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1376895961
Laurie Leigh Lackland, ANP's National Provider Identifier is 1376895961, issued on Oct 8, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Prescott, AZ. The record was last updated on Jul 2, 2014.