Individual
MS. LACEY MCCOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1611 W 78TH ST APT 207, TULSA, OK 74132-4600
(580) 362-0222
Mailing address
1611 W 78TH ST APT 207, TULSA, OK 74132-4600
(580) 362-0222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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