Individual
LACEY LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
111 E WASHINGTON AVE, BRISTOW, OK 74010-3444
(918) 367-2246
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2080
OK
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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