IndividualActive
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
Other Service Providers
Practice location
342 E Windy Way
Payson, AZ 85541-2174
Phone: (928) 951-6410
Approximate (ZIP-level) locationGet directions
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.