Individual provider · Type 1 NPI
Stacey Elizabeth Lacey
Adult Health Nurse Practitioner · Conway, SC
NPI number
1679946008
Active
Practice location
300 Singleton Ridge Rd
Conway, SC 29526-9142
Fax (432) 346-7598
Mailing address
1401 Medical Pkwy, Bldg B, Ste 205
Cedar Park, TX 78613-7763
Other practice locations
- 148 Cypress Estates Dr, Murrells Inlet, SC 29576-8698 · (512) 774-7054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 758324 (TX) |
| Gerontology Nurse Practitioner | 363LG0600X | AP129484 (TX) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | AP129484 (SC) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1679946008
Stacey Elizabeth Lacey's National Provider Identifier is 1679946008, issued on Nov 6, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Conway, SC. The record was last updated on May 21, 2020.