Lacey Summers
Registered Nurse in Pueblo, CO. Individual provider (NPI-1).
NPI number1407445331
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1407445331
- Entity type
- Individual (NPI-1)
- Name
- Lacey Summers
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2021
- Certification date
- Jan 14, 2021
- Last updated
- Jan 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN.0111665 | CO | Yes |
Practice location
1302 Chinook LnPueblo, CO 81001-1851
Phone 719-545-2746
Mailing address
41 Montebello Rd Ste 204Pueblo, CO 81001-1379
Phone 719-545-2746 · Fax 719-545-4100
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