Mr. Ryan Dexter Lacy
Mr. Ryan Dexter Lacy is a Case Manager/Care Coordinator in Oakland, California. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
390 40th StOakland, CA 94609-2633
Phone: (510) 613-0330
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1861960023 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 6, 2018 |
| Last updated in NPPES | March 8, 2024 |
| Certification date | March 8, 2024 |
| Mailing address | 390 40th St, Oakland, CA 94609-2633 |
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