LACEY LUNDGREN APRN NPI 1689088205

NPI Information

  • NPI: 1689088205
  • Provider Name: LACEY LUNDGREN, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1128 TX-21
    BASTROP, TX
    ZIP 78602
  • Phone: (844) 215-4498

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NPI Details

Lacey Lundgren, APRN is a psychiatric/mental health nurse practitioner in Bastrop, TX. Lacey Lundgren, APRN NPI is 1689088205. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1128 TX-21
BASTROP, TX
ZIP 78602-298
Phone: (844) 215-4498

The NPI 1689088205 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2014 and was last updated on 8/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryAP125777TEXASNo
2363LF0000XNurse PractitionerFamilyAP125777TEXASNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthAP125777TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1342462401MEDICAIDTEXAS
2791283OTHERTEXASRN LICENSE
3AP125777OTHERTEXASAPRN LICENSE NO.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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