Shayna Colleen Lacy

NPI #1154801165 in Azle, Texas

Provider Information

NPI Number: 1154801165
Entity Type: Individual
Name: Shayna Colleen Lacy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 19, 2018
Last Updated: Sep 3, 2018

Practice Location

Address: 721 DUNAWAY LN
City: Azle
State: Texas
ZIP Code: 76020
Phone: (817) 444-2536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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