Provider Demographics
NPI:1265659759
Name:DANIELS, LACINDA M (BS)
Entity Type:Individual
Prefix:MS
First Name:LACINDA
Middle Name:M
Last Name:DANIELS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 N SHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-7790
Mailing Address - Country:US
Mailing Address - Phone:317-750-0274
Mailing Address - Fax:317-534-0424
Practice Address - Street 1:727 N SHORE BLVD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-7790
Practice Address - Country:US
Practice Address - Phone:317-750-0274
Practice Address - Fax:317-534-0424
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist