person
Taylor Lackey
Psychiatric/Mental Health Nurse Practitioner in Menasha, Wisconsin
NPI 1083479539

Taylor Lackey is a Psychiatric/Mental Health Nurse Practitioner based in Menasha, WI and is specialized in Psychiatric/Mental Health. Taylor Lackey practices in Menasha, WI. The NPI Number for Taylor Lackey is 1083479539 and holds a License No. 15030 (Wisconsin).

The current practice location address for Taylor Lackey is 1095 Midway Rd, Menasha, WI and can be reached out via phone at 920-720-2300.

Location: 1095 Midway Rd, Menasha, WI, 54952-1115
person
Provider Profile Details
NPI Number
1083479539
Provider Name
Taylor Lackey
Credential
Provider Entity Type
Individual
Gender
Female
Address
1095 Midway Rd, Menasha, WI, 54952-1115
Phone Number
920-720-2300
Fax Number
Provider Enumeration Date
02/14/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1095 Midway Rd
City
State
Zip
54952-1115
Phone Number
920-720-2300
Fax Number
person
Provider Business Mailing Address Details
Address
1095 Midway Rd
City
State
Zip
54952-1115
Phone Number
920-720-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
15030 (Wisconsin)
Definition
Definition to come...
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