Individual
LACY HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-7800
(918) 426-5837
Mailing address
15 WATERS EDGE DR, MCALESTER, OK 74501-6195
(918) 426-7800
(918) 426-5837
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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