Individual
LACEY MICHELLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
709 OKLAHOMA BLVD, ALVA, OK 73717-2753
(580) 327-8627
Mailing address
709 UNIVERSITY BLVD, ALVA, OK 73717
(620) 295-0782
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
947
OK
Other
Enumeration date
11/16/2018
Last updated
12/18/2025
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