Individual
LACY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
207 S MAIN ST, CLINTON, MO 64735-2154
(660) 885-3800
Mailing address
207 S MAIN ST, CLINTON, MO 64735-2154
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2024027037
MO
Other
Enumeration date
07/17/2024
Last updated
07/18/2024
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