Individual
DR. HEIDI LYNN LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
283 STADIUM DR, DEFIANCE, OH 43512-4604
(419) 782-3937
(419) 782-3930
Mailing address
283 STADIUM DR, DEFIANCE, OH 43512-4604
(419) 782-3937
(419) 782-3930
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5437
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051320
—
OH
Enumeration date
02/23/2006
Last updated
04/27/2021
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