Individual
MR. EVERETT FRANKLIN LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1438 N LEWIS AVE., TULSA, OK 74110-4705
(918) 583-7593
(918) 583-0672
Mailing address
1438 N LEWIS AVE, TULSA, OK 74110-4705
(918) 583-7593
(918) 583-0672
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8358
OK
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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