DEREK CHRISTOPHER LACY

PROVIDENCE, RI
NPI1336868280
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2022-08-24
Last Update Date2022-08-24
Business Address
DEREK CHRISTOPHER LACY
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906-4829
Phone number: 401-455-6528
Mailing Address
DEREK CHRISTOPHER LACY
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906-4829
Phone number: