Lacey Louise Farmer

NPI #1669773446 in Ada, Oklahoma

Provider Information

NPI Number: 1669773446
Entity Type: Individual
Name: Lacey Louise Farmer
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Nov 9, 2010
Last Updated: Feb 13, 2017

Practice Location

Address: 1921 STONECIPHER BLVD.
Address 2: CHICKASAW NATION MEDICAL CENTER
City: Ada
State: Oklahoma
ZIP Code: 74820
Phone: (580) 436-3980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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