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Individual
LACEY K. SKIBITSKY
Active
Individual
LACEY K. SKIBITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P14135
NC
225100000X
Physical Therapist
Primary
PT019522
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102376562-0001
—
PA
01
—
1154566909
UNISON
PA
01
—
1154566909
BRAVO
—
01
—
2123171
HIGHMARK PA BLUE SHIELD
PA
01
—
30068872
KEYSTONE MERCY
PA
01
—
3744639000
IBC
PA
Enumeration date
12/09/2008
Last updated
10/13/2020
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