IndividualActive
Vickie Lacy
NPI 1003054925 · Licensed Practical Nurse · Ft. Campbell, KY
Provider details
- NPI number
- 1003054925
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2040599 (KY)
Specialties & taxonomies
Nursing Service Providers
Practice location
650 Joel Drive
Ft. Campbell, KY 42223
Phone: (270) 798-8981
Approximate (ZIP-level) locationGet directions
Mailing address
650 Joel Drive
Ft. Campbell, KY 42223
Registry dates
- Enumerated
- 2009-01-30
- Last updated
- 2009-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.