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Ellisa Lacy, LPN
Licensed Practical Nurse in Wasilla, Alaska
NPI 1619319886

Ellisa Lacy is a Licensed Practical Nurse based in Wasilla, AK. Ellisa Lacy practices in Wasilla, AK and has the professional credentials of LPN. The NPI Number for Ellisa Lacy is 1619319886 and holds a License No. 6962 (Alaska).

The current practice location address for Ellisa Lacy is 3435 N Wolverine Dr, Wasilla, AK and can be reached out via phone at 907-631-3830.

Location: 3435 N Wolverine Dr, Wasilla, AK, 99654-2704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619319886
Provider Name
Ellisa Lacy
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
3435 N Wolverine Dr, Wasilla, AK, 99654-2704
Phone Number
907-631-3830
Fax Number
Provider Enumeration Date
07/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3435 N Wolverine Dr
City
Wasilla
State
Alaska
Zip
99654-2704
Phone Number
907-631-3830
Fax Number
person
Provider Business Mailing Address Details
Address
3435 N Wolverine Dr
City
Wasilla
State
Alaska
Zip
99654-2704
Phone Number
907-631-3830
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
6962 (Alaska)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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