Mrs. Lacey Deyanne Buckhannon
Mrs. Lacey Deyanne Buckhannon is a Pharmacy Technician in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2023.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
1509 S Neil StChampaign, IL 61820-6580
Phone: (217) 351-1516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy Technician (primary) | Taxonomy 183700000X · Licence 049137234 (IL) |
|---|
Record details
| NPI number | 1336846351 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 9, 2023 |
| Last updated in NPPES | February 9, 2023 |
| Certification date | February 9, 2023 |