Individual provider · Type 1 NPI

Lacey Nicole Pulley, PA-C

Medical Physician Assistant · Lebanon, IN

NPI number 1780126920 Active

Practice location

2705 N Lebanon St Ste 265
Lebanon, IN 46052-8621

Fax (765) 485-8839

Mailing address

2605 N Lebanon St
Lebanon, IN 46052-1476

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000X10002070A (IN)
Medical Physician Assistant Primary 363AM0700X10002070A (IN)

Medical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1780126920

Lacey Nicole Pulley, PA-C's National Provider Identifier is 1780126920, issued on Nov 4, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lebanon, IN. The record was last updated on Oct 14, 2025.