Individual
MS. DEANNA LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4343 W 52ND ST, CLEVELAND, OH 44144-2905
(216) 407-3914
Mailing address
4343 W 52ND ST, CLEVELAND, OH 44144-2905
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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