Lacy, Michael

Lacy, Michael is an sole proprietor health care provider with primary practice located at 4104 Shiloh Valley Rd , Edmond OK 73034-6912. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Lacy, Michael can be contacted via phone (405) 482-0313.

Contact Information

Primary practice address
4104 Shiloh Valley Rd Edmond OK 73034-6912
Phone: (405) 482-0313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1548731789
LBN Legal business name Lacy, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2018
Last updated Dec 16th, 2018 - about 8 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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