Clevenger, Lacy

Clevenger, Lacy is an individual health care provider with primary practice located at 12326 E 86Th St N , Owasso OK 74055-2543. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Clevenger, Lacy can be contacted via phone (918) 272-1923.

Contact Information

Primary practice address
12326 E 86Th St N Owasso OK 74055-2543
Phone: (918) 272-1923
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2230 Oklahoma

Profile Details

NPI number 1356936629
LBN Legal business name Clevenger, Lacy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2021
Last updated Jul 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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