Individual
JULIE H LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38610 N 3986 DR, RAMONA, OK 74061-2577
(918) 332-0770
Mailing address
38610 N 3986 DR, RAMONA, OK 74061-2577
(918) 332-0770
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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