LACY MARIE CRUM

MT STERLING, KY
NPI1174127781
Professional NameLACY MARIE CRUM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: KY  PA2799)
Enumeration Date2020-11-24
Last Update Date2022-06-21
Business Address
LACY MARIE CRUM
227 FALCON DR # 104
MT STERLING, KY 40353-9792
Phone number: 859-497-5160
Mailing Address
LACY MARIE CRUM
PO BOX 936
LONDON, KY 40743-0936
Phone number: 859-497-5160
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