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General NPI Number Information
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NPI Number | 1821918947
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Entity Type | Organization
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Legal Business Name | LATRICIA ANN LACY PLLC
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Dates
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Enumeration Date | 07/18/2026
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Last Update Date | 07/18/2026
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Provider Practice Location Address
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Address Line | 8905 W POST RD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89148-2429
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Country | US
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Telephone | 702-490-9449
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Fax | 725-213-0049
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Provider Business Mailing Address
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Address Line | 5155 BLUE DIAMOND RD STE 102-207
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City | LAS VEGAS
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State | NV
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Zip | 89139-7695
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Country | US
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Telephone | 702-460-7362
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | LATRICIA ANN LACY-JUSTE
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Credential | APRN, DNP
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Telephone | 702-460-7362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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