Individual
ALICIA CAMILLE LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2227 W MARKET ST FL 2, YORK, PA 17404-5516
(717) 318-1904
(888) 527-3213
Mailing address
2227 W MARKET ST FL 2, YORK, PA 17404-5516
(717) 318-1904
(888) 527-3213
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
29012447
PA
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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