Lacey Ann Gaddis, RN
Individual provider Active NPI Emergency Registered Nurse · Byron, MN
NPI 1134052368 · NPPES record last updated Jun 6, 2026
Key facts
- NPI
- 1134052368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- 2519048 (MN)
- Practice address
- 308 7TH St NW
Byron, MN 55920-1349 - Phone
- (907) 978-5067
- NPI assigned
- Jun 6, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2519048 | MN | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 2519048 | MN | Yes |
Addresses
Primary practice location
308 7TH St NW
Byron, MN 55920-1349
Mailing address
308 7TH St NW
Byron, MN 55920-1349
Phone (907) 978-5067
Other names
- Lacey Ann Lausen
Other providers in Byron, MN
- Endeavor Clinic
- Kayla Jade Engel
- Eternal Communion Counseling
- Ammon KC Fawson
- Dean William Ferber
- Christina Chew Ganfield
- Blake Steven Gatzke
- Jeffrey James Glessing
- Marie T Goihl
- Tuyet A Hak
All providers in Byron, MN · Emergency Registered Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.