DR. Lacy Nicole Crissup, O.D.

NPI #1851521819 in Claremore, Oklahoma

Provider Information

NPI Number: 1851521819
Entity Type: Individual
Name: DR. Lacy Nicole Crissup, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 23, 2009
Last Updated: Jul 23, 2009

Practice Location

Address: 212 E BLUE STARR DR
City: Claremore
State: Oklahoma
ZIP Code: 74017-4223
Phone: (918) 341-8211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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