Potter, Lacey

Potter, Lacey is an sole proprietor health care provider with primary practice located at 15881 County Road 3590 , Ada OK 74820-0483. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Potter, Lacey can be contacted via phone (580) 235-3138.

Contact Information

Primary practice address
15881 County Road 3590 Ada OK 74820-0483
Phone: (580) 235-3138
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1114448917
LBN Legal business name Potter, Lacey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2017
Last updated Jun 30th, 2017 - about 7 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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