Provider Demographics
NPI:1881466100
Name:PRESLEY, LACEE JOANN (CLSE, CLD, CPD)
Entity type:Individual
Prefix:
First Name:LACEE
Middle Name:JOANN
Last Name:PRESLEY
Suffix:
Gender:F
Credentials:CLSE, CLD, CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 29TH AVENUE PL
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-6824
Mailing Address - Country:US
Mailing Address - Phone:979-900-6293
Mailing Address - Fax:
Practice Address - Street 1:1730 29TH AVENUE PL
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-6824
Practice Address - Country:US
Practice Address - Phone:979-900-6293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty