Provider Demographics
NPI:1487520227
Name:ALLRED, LACEY JAY
Entity type:Individual
Prefix:
First Name:LACEY
Middle Name:JAY
Last Name:ALLRED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293120 US HIGHWAY 101
Mailing Address - Street 2:
Mailing Address - City:QUILCENE
Mailing Address - State:WA
Mailing Address - Zip Code:98376-9515
Mailing Address - Country:US
Mailing Address - Phone:801-635-9991
Mailing Address - Fax:
Practice Address - Street 1:293120 US HIGHWAY 101
Practice Address - Street 2:
Practice Address - City:QUILCENE
Practice Address - State:WA
Practice Address - Zip Code:98376-9515
Practice Address - Country:US
Practice Address - Phone:801-635-9991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula