Individual
JOAN M LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3294 PLEASANT GROVE RD, WARFORDSBURG, PA 17267-8818
(717) 573-2481
Mailing address
PO BOX 147, NEEDMORE, PA 17238-0147
(717) 573-2481
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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