Individual
LACY NOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-1000
Mailing address
1408B W 26TH ST, HOUSTON, TX 77008-1624
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115689
TX
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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