Hedrick, Lacey R.

Hedrick, Lacey R. is an individual health care provider with primary practice located at 2215 Nw Cache Rd Suite 107, Lawton OK 73505-5239. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Hedrick, Lacey R. can be contacted via phone (580) 351-9998.

Contact Information

Primary practice address
2215 Nw Cache Rd Suite 107 Lawton OK 73505-5239
Phone: (580) 351-9998
Fax: (580) 351-9898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1770854754
LBN Legal business name Hedrick, Lacey R.
Credentials BHRS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2012
Last updated Mar 18th, 2014 - about 10 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770854754 NPPES
Oklahoma MEDICAID 1007474000

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