Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacie Jae Boles

Individual provider Community Health Worker · NPI 1831990381

Lacie Jae Boles is a Community Health Worker in Shawnee, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2307 Gordon Cooper Dr
Shawnee, OK 74801-9007
Phone: (405) 214-5111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1831990381
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2025
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025
Mailing address2307 Gordon Cooper Dr, Shawnee, OK 74801-9007

Other providers in Shawnee