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Lacy Georgette Ireland, FNP
Family Nurse Practitioner in Peru, Indiana
NPI 1689145211

Lacy Georgette Ireland is a Family Nurse Practitioner based in Peru, IN and is specialized in Family. Lacy Georgette Ireland practices in Peru, IN and has the professional credentials of FNP. The NPI Number for Lacy Georgette Ireland is 1689145211 and holds a License No. 28188363A (Indiana).

The current practice location address for Lacy Georgette Ireland is 1000 N Broadway, Peru, IN and can be reached out via phone at 765-472-5335.

Location: 1000 N Broadway, Peru, IN, 46970-1070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689145211
Provider Name
Lacy Georgette Ireland
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1000 N Broadway, Peru, IN, 46970-1070
Phone Number
765-472-5335
Fax Number
Provider Enumeration Date
12/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 N Broadway
City
Peru
State
Indiana
Zip
46970-1070
Phone Number
765-472-5335
Fax Number
person
Provider Business Mailing Address Details
Address
1000 N Broadway
City
Peru
State
Indiana
Zip
46970-1070
Phone Number
765-472-5335
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28188363A (Indiana)
Definition
Definition to come...
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