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

Lacy Boutwell

Individual provider Speech-Language Pathologist · NPI 1164998928

Lacy Boutwell is a Speech-Language Pathologist in Warner Robins, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018

Practice location Address checks out

524 S Houston Lake Rd Ste B300
Warner Robins, GA 31088-9042
Phone: (678) 910-3940
Fax: (404) 464-0819
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP008941 (GA)

Record details

NPI number1164998928
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2018
Last updated in NPPESOctober 19, 2018
Mailing address107 Grand View Ave, Kathleen, GA 31047-2747

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