Lacy, Marlene Annette

Lacy, Marlene Annette is an individual health care provider with primary practice located at 1525 W Frye Rd , Chandler AZ 85224-6178. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Lacy, Marlene Annette can be contacted via phone (480) 812-7000.

Contact Information

Primary practice address
1525 W Frye Rd Chandler AZ 85224-6178
Fax:
Website:

Health care specialties

Profile Details

NPI number 1396870564
LBN Legal business name Lacy, Marlene Annette
Credentials OTR-L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 9th, 2007 - about 17 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 1396870564 NPPES
Arizona MEDICAID 549438

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