Individual
LACY IBERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 BETSCHER AVE, DOVER, OH 44622-1345
(330) 364-7114
Mailing address
325 BETSCHER AVE, DOVER, OH 44622-1345
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7791
OH
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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