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Teresa D Lacy

Registered Nurse, School in Holland, NY. Individual provider (NPI-1).

NPI number1124742291
StatusActive
Last updated in NPPESOct 3, 2022

Details

NPI
1124742291
Entity type
Individual (NPI-1)
Name
Teresa D Lacy
Sex
Female
Sole proprietor
No
Enumeration date
Oct 3, 2022
Certification date
Oct 1, 2022
Last updated
Oct 3, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WS0200X Registered Nurse, School506322-01NYYes

Practice location

103 Canada St
Holland, NY 14080-9806

Phone 716-537-8200

Mailing address

103 Canada St
Holland, NY 14080-9806

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other School Registered Nurse providers in Holland, NY

All 5 School Registered Nurse providers in Holland · All 59 providers in Holland

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