Doctor Name: | ANNE LORETTA LACEY |
NPI Number: | 1952592701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 033239-23 |
Business Practice Address: | 207 S Main St Newmarket, NH - 038571843 |
Business Phone Number: | 6036593106 |
Business Fax Number: | 6036598003 |
Mailing Address: | 207 S Main St, NEWMARKET |
State: | NH |
Postal Code: | 038571843 |
Phone Number: | 6036593106 |
Fax Number: | 6036598003 |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 03/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 033239-23 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |