Kenneth Bart Lacy

NPI #1235986340 in Fort Lauderdale, Florida

Provider Information

NPI Number: 1235986340
Entity Type: Individual
Name: Kenneth Bart Lacy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: May 6, 2024
Last Updated: May 6, 2024

Practice Location

Address: 2717 W CYPRESS CREEK RD
City: Fort Lauderdale
State: Florida
ZIP Code: 33309-1703
Phone: (954) 683-3463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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