Lacy Dawn Elliott

NPI #1700471778 in Konawa, Oklahoma

Provider Information

NPI Number
1700471778
Entity Type
Individual
Name
Lacy Dawn Elliott
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Peer Specialist
Enumeration Date
Mar 2, 2021
Last Updated
Mar 2, 2021

Practice Location

Address
605 N ELM ST
City
Konawa
ZIP Code
74849-1410
Phone
(918) 991-3654

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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