Tiffany Lacy
Tiffany Lacy is a Massage Therapist in Port Jefferson Station, New York. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
11 Medical Dr Ste BPort Jefferson Station, NY 11776-1589
Phone: (718) 554-1042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X |
|---|
Record details
| NPI number | 1841797206 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 11, 2018 |
| Last updated in NPPES | November 12, 2018 |
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