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Antwan Lacy, FNP-C

NPI 1477059376 · on the registry since 2018

Practice

Address
7000 4th St N Ste A
Saint Petersburg, FL 33702
Phone
(727) 526-3627
Fax
(727) 525-3492
Organisation at this address
Ohi West Medical Group, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida