Lacey Potter
Lacey Potter is a Peer Specialist in Ada, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
15881 County Road 3590Ada, OK 74820-0483
Phone: (580) 235-3138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1114448917 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 30, 2017 |
| Last updated in NPPES | June 30, 2017 |
| Mailing address | Po Box 715, Ada, OK 74821-0715 |
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