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Lacey Tackett — NPI 1346887494, Payson, AZ | NPI Central

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NPI 1346887494

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Lacey Tackett

NPI 1346887494 · Midwife · Payson, AZ

Provider details

NPI number: 1346887494
Entity type: Individual
Primary specialty: MidwifeOther Service Providers
Sex: Female
Sole proprietor: Yes
License: LM226 (AZ)

Specialties & taxonomies

MidwifePrimary176B00000XLicense LM226 (AZ)
Other Service Providers

Practice location

342 E Windy Way

Payson, AZ 85541-2174

Phone: (928) 951-6410

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

342 E Windy Way

Payson, AZ 85541-2174

Registry dates

Enumerated: 2019-12-09
Last updated: 2019-12-09
Certified: 2019-12-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.