Individual provider · Type 1 NPI
Lacey Danielle Keeth, MSN, FNP-C
Family Nurse Practitioner · Vidalia, LA
NPI number
1679823090
Active
Practice location
1643 Carter Street, Suite #1
Vidalia, LA 71373
Fax (318) 336-8876
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R872599 (MS) |
| Family Nurse Practitioner Primary | 363LF0000X | AP09734 (LA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1679823090
Lacey Danielle Keeth, MSN, FNP-C's National Provider Identifier is 1679823090, issued on Sep 12, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vidalia, LA. The record was last updated on Oct 5, 2021.