Miss. Lacey Lee Wilson
Miss. Lacey Lee Wilson is a Nurse Practitioner in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2024
Practice location Address checks out
4859 N 20th StPhoenix, AZ 85016-4707
Phone: (602) 669-3850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 315636 (AZ) |
|---|
Record details
| NPI number | 1104646793 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 16, 2024 |
| Last updated in NPPES | October 16, 2024 |
| Certification date | October 16, 2024 |
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