Lacey Tackett

NPI #1346887494 in Payson, Arizona

Provider Information

NPI Number: 1346887494
Entity Type: Individual
Name: Lacey Tackett
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Enumeration Date: Dec 9, 2019
Last Updated: Dec 9, 2019

Practice Location

Address: 342 E WINDY WAY
City: Payson
State: Arizona
ZIP Code: 85541-2174
Phone: (928) 951-6410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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