Individual
LACEY D. CREEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHS
Contact information
Practice address
130 S JOE B HALL AVE, SHEPHERDSVILLE, KY 40165-6009
(502) 955-7036
(502) 955-9605
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
10/26/2007
Last updated
01/16/2015
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