Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Neil Lacanlale

Individual provider Administrator Registered Nurse · NPI 1255926853

Neil Lacanlale is a Nurse Practitioner in Lacey, Washington. Qualified in 2022, 4 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
4
Licensed in
CA, WA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

7848 23rd Ln SE
Lacey, WA 98503-3300
Phone: (657) 767-4837
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61318285 (WA)
Administrator Registered Nurse Taxonomy 163WA2000X · Licence 95144496 (CA)

Record details

NPI number1255926853
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 4, 2021
Last updated in NPPESApril 12, 2025
Certification dateApril 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lacey