Laurie Leigh Lackland, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP4680 Issued in AZ

Practice address

1065 Ruth St
Prescott, AZ 86301-1729

Phone

(928) 778-5655

NPI assigned

Oct 8, 2012

Last updated

Jul 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1376895961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2104",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863022104",
            "telephone_number": "805-506-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 RUTH ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011729",
            "telephone_number": "928-778-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKLAND",
        "first_name": "LAURIE",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP4680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L.M. Demidowich PLLC (Northern Sun Podiatry)
• Ruth Mary Labarbera, LMSW
• Laboratory Corporation of America
• Elizabeth Lacasto, LMFT
• Michael James Lacaze, DO
• Mark Danforth Lacy, MD
• Bernadette Lee Lafferty, LMT
• Eileen Blair Lafleur, LAC
• Dawn D Lagary, PA-C
• Geoffrey Stuart Lagary, PA-C

• Adult Health Nurse Practitioner in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.