Provider Demographics
NPI:1821697061
Name:LACELLE, MORGAN TAYLOR-JOY (RN)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:TAYLOR-JOY
Last Name:LACELLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:FITCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:211 MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:NORTH SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-3551
Mailing Address - Country:US
Mailing Address - Phone:315-956-8331
Mailing Address - Fax:
Practice Address - Street 1:211 MAPLE LN
Practice Address - Street 2:
Practice Address - City:NORTH SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-3551
Practice Address - Country:US
Practice Address - Phone:315-956-8331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY737131163WP0218X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0218XNursing Service ProvidersRegistered NursePediatric Oncology