Search › Florida › 363L00000X
Lacey Dietrich, ARNP
NPI 1811481294 · on the registry since 2018
Practice
- Address
- 1 Shircliff Way
Jacksonville, FL 32204 - Phone
- (904) 308-5000
- Organisation at this address
- Cep America Llc
Richard G Wallis Md Pa
Ob Hospitalist Group Llc
St Vincents Medical Center Inc
St Vincents Medical Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 152
Additional practice sites
- 1670 St Vincents Way, Middleburg, FL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-31
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