Lacey Lahue, LPN

Individual provider Active NPI Licensed Practical Nurse · Sellersburg, IN

NPI 1356701734 · NPPES record last updated Feb 29, 2016

Key facts

NPI
1356701734
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
27067823A (IN)
Practice address
8519 Plum Tree CT
Sellersburg, IN 47172-9095
Phone
(502) 439-6661
NPI assigned
Feb 29, 2016
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

State licenses

LicenseStateTypeSpecialty
27067823AINMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 27067823A IN Yes

Addresses

Primary practice location

8519 Plum Tree CT
Sellersburg, IN 47172-9095

Mailing address

8519 Plum Tree CT
Sellersburg, IN 47172-9095
Phone (502) 439-6661

Other providers in Sellersburg, IN

All providers in Sellersburg, IN · Licensed Practical Nurse in Indiana

Sources for this page

Verify at the official NPI Registry.