Carroll, Lacy Jean

Carroll, Lacy Jean is an individual health care provider with primary practice located at 356110 E 930 Rd , Stroud OK 74079-5184. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Carroll, Lacy Jean can be contacted via phone (918) 968-3531.

Contact Information

Primary practice address
356110 E 930 Rd Stroud OK 74079-5184
Phone: (918) 968-3531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1447005822
LBN Legal business name Carroll, Lacy Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2024
Last updated Apr 19th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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