Latisha Lashay Lacy

NPI #1679217103 in Bixby, Oklahoma

Provider Information

NPI Number: 1679217103
Entity Type: Individual
Name: Latisha Lashay Lacy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 21, 2022
Last Updated: Apr 21, 2022

Practice Location

Address: 7106 E 151ST ST S
City: Bixby
State: Oklahoma
ZIP Code: 74008-4137
Phone: (918) 970-6225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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