MICHELLE RANAE LACY APRN-CNM NPI 1740792431

NPI Information

NPI: 1740792431
Provider Name: MICHELLE RANAE LACY, APRN-CNM
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
6600 BLACKBERRY RD
EDMOND, OK
ZIP 73034
Phone: (405) 715-3926
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Michelle Ranae Lacy, APRN-CNM is an obstetrics and gynecology nurse practitioner in Edmond, OK. Michelle Ranae Lacy, APRN-CNM NPI is 1740792431. 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:

6600 BLACKBERRY RD
EDMOND, OK
ZIP 73034-421
Phone: (405) 715-3926

The NPI 1740792431 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 11/2/2017 and was last updated on 8/10/2022.

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
1	363L00000X	Nurse Practitioner		107130	OKLAHOMA	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	R0107030	OKLAHOMA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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