Individual
ELISABETH FAITH LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 PIERCE ST #223, OMAHA, NE 68108
(844) 743-6506
Mailing address
8300 JEFFERSON NE SUITE B, ALBUQUERQUE, NM 87113
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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