DEREK CHRISTOPHER LACY

PROVIDENCE, RI
NPI1336868280
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2022-08-24
Last Update Date2025-07-07
Business Address
DEREK CHRISTOPHER LACY M.S.
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-455-6528
Mailing Address
DEREK CHRISTOPHER LACY M.S.
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-276-6151
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