Individual
BRIA LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
4500 MONTEVALLO RD STE B105-108, IRONDALE, AL 35210-3129
(205) 909-7636
Mailing address
3090 HIGHWAY 280 E, VESTAVIA, AL 35243-2705
(205) 909-7636
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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