Individual
ALLISON LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1 JEFFERSON BARRACKS DR, JB-126, SAINT LOUIS, MO 63125-4181
(314) 894-6696
Mailing address
1 JEFFERSON BARRACKS DR, JB-126, SAINT LOUIS, MO 63125-4181
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2016023598
MO
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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