Healthcare Provider Details

I. General information

NPI: 1821918947
Provider Name (Legal Business Name): LATRICIA ANN LACY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8905 W POST RD STE 110
LAS VEGAS NV
89148-2429
US

IV. Provider business mailing address

5155 BLUE DIAMOND RD STE 102-207
LAS VEGAS NV
89139-7695
US

V. Phone/Fax

Practice location:
  • Phone: 702-490-9449
  • Fax: 725-213-0049
Mailing address:
  • Phone: 702-460-7362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LATRICIA ANN LACY-JUSTE
Title or Position: OFFICER
Credential: APRN, DNP
Phone: 702-460-7362