Provider Demographics
NPI:1326483124
Name:DR LACEY FAMILY CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:DR LACEY FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LACEY
Authorized Official - Middle Name:N
Authorized Official - Last Name:HOEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-282-3930
Mailing Address - Street 1:309 N DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-3203
Mailing Address - Country:US
Mailing Address - Phone:405-282-3930
Mailing Address - Fax:405-282-3940
Practice Address - Street 1:309 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-3203
Practice Address - Country:US
Practice Address - Phone:405-282-3930
Practice Address - Fax:405-282-3940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4083111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty