Individual
MRS. MYTHEA MARIE LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2735 E TUDOR RD, ANCHORAGE, AK 99507-1135
(907) 562-7900
Mailing address
2957 SUNCATCHER CT, ANCHORAGE, AK 99507-1878
(907) 646-7634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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