Individual
LACY BUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 W JACKSON BLVD, JACKSON, MO 63755-3010
(573) 576-2276
Mailing address
1502 W JACKSON BLVD, JACKSON, MO 63755-3010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014014129
MO
Other
Enumeration date
12/06/2013
Last updated
09/22/2024
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