Kristal Joy Lacy, LPN

NPI #1801630264 in Tulsa, Oklahoma

Provider Information

NPI Number: 1801630264
Entity Type: Individual
Name: Kristal Joy Lacy, LPN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: LPN
Enumeration Date: Jun 20, 2024
Last Updated: Oct 8, 2024

Practice Location

Address: 7306 S YALE AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74136-7027
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Licensed Practical Nurse	164W00000X
Behavior Technician	106S00000X	Primary

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