Lacey Tyler

NPI #1215308267 in Toledo, Oregon

Provider Information

NPI Number: 1215308267
Entity Type: Individual
Name: Lacey Tyler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 16, 2015
Last Updated: Oct 16, 2015

Practice Location

Address: 321 SE 3RD ST
City: Toledo
State: Oregon
ZIP Code: 97391-1613
Phone: (541) 336-2254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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