Lacee J Shade, RN

NPI #1114816527 in Muskogee, Oklahoma

Provider Information

NPI Number: 1114816527
Entity Type: Individual
Name: Lacee J Shade, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Jul 1, 2025
Last Updated: Jul 1, 2025

Practice Location

Address: 1101 HONOR HEIGHTS DR
City: Muskogee
State: Oklahoma
ZIP Code: 74401-1302
Phone: (918) 813-4485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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