Individual
LACEY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 N BELT HWY STE D, SAINT JOSEPH, MO 64506-3678
(816) 233-8011
Mailing address
1311 N BELT HWY STE D, SAINT JOSEPH, MO 64506-3678
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2025027222
MO
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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