Individual
LACY N THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO,ABOC
Contact information
Practice address
8301 ROGERS AVE, FORT SMITH, AR 72903-5236
(479) 478-6241
(479) 478-6753
Mailing address
8301 ROGERS AVE, FORT SMITH, AR 72903-5236
(479) 478-6241
(479) 478-6753
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
L-120107
AR
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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