Individual
MRS. LACEY LYNNE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS PT
Contact information
Practice address
231 HERBERT DR, HENSLEY, AR 72065-9512
(501) 888-3229
(501) 888-3229
Mailing address
231 HERBERT DR, HENSLEY, AR 72065-9512
(501) 888-3229
(501) 888-3229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT936
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16607721
—
AR
01
—
5S380
BCBS
AR
Enumeration date
03/23/2006
Last updated
02/26/2008
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