Individual
LACY L CHAPEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATHLETIC TRAINER
Contact information
Practice address
1118 HAMPSHIRE ST, QUINCY, IL 62301-3027
(217) 222-6550
(217) 228-8439
Mailing address
3435 DEERFIELD RD, HANNIBAL, MO 63401-2729
(217) 430-1659
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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