Individual provider · Type 1 NPI

Lacey Polewski

Primary Care Nurse Practitioner · Miamisburg, OH

NPI number 1770173874 Active

Practice location

3333 W Tech Rd Ste 220
Miamisburg, OH 45342-0956

Mailing address

105 Sycamore Springs Dr
Springboro, OH 45066-9569

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAPRN.CNP.0028287 (OH)

Primary Care Nurse Practitioner: Definition to come...

11 other providers at this address

Other primary care nurse practitioner providers in Miamisburg

See all in Miamisburg →

About NPI 1770173874

Lacey Polewski's National Provider Identifier is 1770173874, issued on Jan 22, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Miamisburg, OH. The record was last updated on Jan 22, 2021.