Provider Demographics
NPI:1821348517
Name:HOEL, LACEY NICOLE (DC)
Entity Type:Individual
Prefix:
First Name:LACEY
Middle Name:NICOLE
Last Name:HOEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4083111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor