Individual
PAMELA KAY LACEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 SAM WALTON DR, RUSSELLVILLE, KY 42276-9311
(270) 726-8283
(270) 726-9842
Mailing address
120 SAM WALTON DR, RUSSELLVILLE, KY 42276-9311
(270) 726-8283
(270) 726-9842
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
110221
KY
Other
Enumeration date
06/09/2022
Last updated
06/10/2022
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