Lacy Clemmons

NPI #1134307440 in Shawnee, Oklahoma

Provider Information

NPI Number
1134307440
Entity Type
Individual
Name
Lacy Clemmons
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
Feb 8, 2008
Last Updated
Feb 8, 2008

Practice Location

Address
1010 E 45TH ST
ZIP Code
74804-2202
Phone
(405) 273-1170

Specialties & Taxonomy Codes

Specialty
Technician, Other

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