Lacey Simmons
NPI #1801676168 in Manteca, California
Provider Information
- NPI Number
- 1801676168
- Entity Type
- Individual
- Name
- Lacey Simmons
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Oct 4, 2023
- Last Updated
- Mar 12, 2024
Practice Location
- Address
- 302 CHERRY LN STE 101
- City
- Manteca
- State
- California
- ZIP Code
- 95337-4311
- Phone
- (209) 647-6296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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