Ellisa Lacy, LPN is a licensed practical nurse in Wasilla, AK. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Ellisa Lacy, LPN NPI is 1619319886. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3435 N WOLVERINE DR
WASILLA, AK
ZIP 99654-704
Phone: (907) 631-3830
The enumeration date for this NPI number is 7/29/2013 and was last updated on 7/29/2013.