Individual
LACEY LOUISE FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 STONECIPHER BLVD., CHICKASAW NATION MEDICAL CENTER, ADA, OK 74820
(580) 436-3980
Mailing address
210 E. MAIN ST., RESOURCE MANAGEMENT, ADA, OK 74820
(580) 436-7211
(580) 272-5757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
02/13/2017
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