LACY GEORGETTE IRELAND FNP NPI 1689145211

NPI Information

NPI: 1689145211
Provider Name: LACY GEORGETTE IRELAND, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1000 N BROADWAY
PERU, IN
ZIP 46970
Phone: (765) 472-5335
Get Directions

Lacy Georgette Ireland, FNP is a family nurse practitioner in Peru, IN. Lacy Georgette Ireland, FNP NPI is 1689145211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 N BROADWAY
PERU, IN
ZIP 46970-070
Phone: (765) 472-5335

The NPI 1689145211 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/7/2018 and was last updated on 12/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	28188363A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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