Individual
LACEY STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHS
Contact information
Practice address
608 HAPPY VALLEY RD, GLASGOW, KY 42141-1561
(270) 901-5000
Mailing address
608 HAPPY VALLEY RD, GLASGOW, KY 42141-1561
(270) 901-5000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
05/26/2010
Last updated
05/26/2010
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