Individual
LACY MARIE LOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 CREE DR, LOCK HAVEN, PA 17745-2639
(570) 893-5971
Mailing address
5035 CLAIRTON BLVD, PITTSBURGH, PA 15236-2103
(412) 440-0145
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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