Individual
LACY ANNE RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1522 S CULPEPPER DR, STILLWATER, OK 74074-1873
(918) 606-6909
Mailing address
1522 S CULPEPPER DR, STILLWATER, OK 74074-1873
(918) 606-6909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3246
OK
Other
Enumeration date
02/22/2008
Last updated
04/05/2013
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