Most Relevant Information
Provider Data
| NPI Number: | 1003578170 |
| Provider Name: | LACY ENNEKING NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN.CNP.0030198 |
Most Important Dates
| Enumeration Date: | 10/06/2021 |
| Last Updated: | 03/28/2023 |
Provider Practice Location
124 CROSS COUNTY PLZ
BATESVILLE
IN
470068833
Practice Location Phone/Fax
| Phone: | 8125392900 |
| Fax: |
Provider Mailing Location
401 W EADS PKWY STE 320
LAWRENCEBURG
IN
470251374
Provider Mailing Phone/Fax
| Phone: | 8125392900 |
| Fax: |