Individual
LACY RAYE COATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 NW 156TH PL, EDMOND, OK 73013-2175
(405) 479-5993
Mailing address
4301 NW 156TH PL, EDMOND, OK 73013-2175
(405) 479-5993
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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