Individual
JALYNN ALEXANDRIA LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 N CANFIELD NILES RD, YOUNGSTOWN, OH 44515-2343
(330) 642-8242
Mailing address
410 FAIRMOUNT AVE NE, WARREN, OH 44483-5223
(330) 979-4266
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.181519
OH
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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