Individual provider · Type 1 NPI
Antwan Edward Lacy, FNP-C
Family Nurse Practitioner · St. Petersburg, FL
NPI number
1477059376
Active
Practice location
7000 4th St N Ste A
St. Petersburg, FL 33702-5903
Fax (727) 525-3492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 9372952 (FL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1477059376
Antwan Edward Lacy, FNP-C's National Provider Identifier is 1477059376, issued on Apr 1, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 27, 2021.