Individual
LACEY LAURENZANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10321 N 2274 RD, CLINTON, OK 73601-7521
(580) 331-3485
(580) 331-3469
Mailing address
10321 N 2274 RD, CLINTON, OK 73601-7521
(580) 331-3485
(580) 331-3469
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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