IndividualActive
Lacey Mccrary
NPI 1669769477 · Primary Care Nurse Practitioner · Shawnee, OK
Provider details
- NPI number
- 1669769477
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 89833 (OK)
Practice location
2307 Gordon Cooper Dr
Shawnee, OK 74801-9007
Phone: (405) 273-5236
Fax: (405) 818-4690
Mailing address
2307 Gordon Cooper Dr
Shawnee, OK 74801-9007
Registry dates
- Enumerated
- 2011-06-30
- Last updated
- 2016-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.