Individual
LACEY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
755 E TULARE AVE, TULARE, CA 93274-4353
(559) 686-4761
Mailing address
1540 HOMESTEAD WAY, LEMOORE, CA 93245-1700
(315) 854-0227
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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