Organization
LACYCASEMANAGEMENT INC
Active
Other names
LacyCaseManagement Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN ROGERS LACY N/A (CEO)
(404) 213-8517
Entity
Organization
Contact information
Practice address
1420 FOXHALL LN SE APT 8, ATLANTA, GA 30316-3474
(404) 213-8517
(404) 328-0999
Mailing address
1420 FOXHALL LN SE APT 8, ATLANTA, GA 30316-3474
(404) 213-8517
(404) 328-0999
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00628559A
—
GA
Enumeration date
12/06/2022
Last updated
12/06/2022
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