Lacy Starks Hill, RN

Individual provider Active NPI Registered Nurse · Clinton, LA

NPI 1669718003 · NPPES record last updated Dec 12, 2012

Key facts

NPI
1669718003
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
117260 (LA)
Practice address
10701 Reiley St
Clinton, LA 70722-3507
Phone
(225) 683-1350
Fax
(225) 683-1359
NPI assigned
Dec 12, 2012
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

LicenseStateTypeSpecialty
117260LAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 117260 LA Yes

Addresses

Primary practice location

10701 Reiley St
Clinton, LA 70722-3507

Mailing address

PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292

Other providers in Clinton, LA

All providers in Clinton, LA · Registered Nurse in Louisiana

Sources for this page

Verify at the official NPI Registry.