Most Relevant Information
Provider Data
| NPI Number: | 1003054925 |
| Provider Name: | VICKIE LACY |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 2040599 |
Most Important Dates
| Enumeration Date: | 01/30/2009 |
| Last Updated: | 01/30/2009 |
Provider Practice Location
650 JOEL DRIVE
FT. CAMPBELL
KY
42223
Practice Location Phone/Fax
| Phone: | 2707988981 |
| Fax: |
Provider Mailing Location
650 JOEL DRIVE
FT. CAMPBELL
KY
42223
Provider Mailing Phone/Fax
| Phone: | 2707988981 |
| Fax: |