Lacy Jean Carroll

NPI #1447005822 in Stroud, Oklahoma

Provider Information

NPI Number: 1447005822
Entity Type: Individual
Name: Lacy Jean Carroll
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 19, 2024
Last Updated: Apr 19, 2024

Practice Location

Address: 356110 E 930 RD
City: Stroud
State: Oklahoma
ZIP Code: 74079-5184
Phone: (918) 968-3531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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