BLAKE MICHAEL LACY

HUNTINGTON, WV
NPI1982478558
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-11-14
Last Update Date2023-11-14
Business Address
BLAKE MICHAEL LACY
1181 S JEFFERSON DR
HUNTINGTON, WV 25701-4362
Phone number: 304-208-7430
Mailing Address
BLAKE MICHAEL LACY
1181 S JEFFERSON DR
HUNTINGTON, WV 25701-4362
Phone number:
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