| Doctor Name: | MS. AMBER JANE LACINA |
| NPI Number: | 1033436480 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN, RN, MSN, APMHNP |
| License Number: | 123916 |
| Business Practice Address: | 111 10th St Sw Waverly, IA - 506772925 |
| Business Phone Number: | 3193521353 |
| Business Fax Number: | 3193522329 |
| Mailing Address: | 111 10th St Sw, WAVERLY |
| State: | IA |
| Postal Code: | 506772925 |
| Phone Number: | 3193521353 |
| Fax Number: | 3193522329 |
| NPI Enumeration Date: | 04/26/2010 |
| NPI Last Update Date: | 12/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 123916 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |