Individual
ROBIN MARIE LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1707 PROFESSIONAL CIR, YUKON, OK 73099-6470
(405) 265-3444
Mailing address
1707 PROFESSIONAL CIR, YUKON, OK 73099-6470
(405) 265-3444
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
57277
OK
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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