Individual
LACEY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 N 8TH ST, GREYBULL, WY 82426-1616
(307) 271-2977
Mailing address
1017 N 8TH ST, GREYBULL, WY 82426-1616
(307) 271-2977
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
03/15/2025
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