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General NPI Number Information
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NPI Number | 1992358378
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Entity Type | Individual
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Provider Name | LACY SMITH FNP-BC, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 100 W CHOUTEAU AVE
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City | SUBLETTE
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State | KS
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Zip | 67877-6738
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Country | US
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Telephone | 620-649-2505
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Fax | 669-204-0329
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Provider Business Mailing Address
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Address Line | 8101 COLLEGE BLVD STE 130
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2793
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Country | US
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Telephone | 620-649-2505
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Fax | 669-204-0329
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-78893
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 216289
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License Number State | OK
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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 | 53-78893
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 13-127040-052
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 216289
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License Number State | OK
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