Individual
TERESA D LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 CANADA ST, HOLLAND, NY 14080-9806
(716) 537-8200
Mailing address
103 CANADA ST, HOLLAND, NY 14080-9806
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
506322-01
NY
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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