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Lacey Gail Boyd
Student in an Organized Health Care Education/Training Program in Atoka, Oklahoma
NPI 1255717450

Lacey Gail Boyd is a Student in an Organized Health Care Education/Training Program based in Atoka, OK. Lacey Gail Boyd practices in Atoka, OK. The NPI Number for Lacey Gail Boyd is 1255717450 and holds a License No. (Oklahoma).

The current practice location address for Lacey Gail Boyd is 706 S Greathouse Dr, Atoka, OK and can be reached out via phone at 580-889-3553 and via fax at 580-889-4050.

Location: 706 S Greathouse Dr, Atoka, OK, 74525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255717450
Provider Name
Lacey Gail Boyd
Credential
Provider Entity Type
Individual
Gender
Female
Address
706 S Greathouse Dr, Atoka, OK, 74525
Phone Number
580-889-3553
Fax Number
580-889-4050
Provider Enumeration Date
08/11/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10006837709A 05 OK
institution
Provider Business Practice Location Address Details
Address
706 S Greathouse Dr
City
Atoka
State
Oklahoma
Zip
74525
Phone Number
580-889-3553
Fax Number
580-889-4050
person
Provider Business Mailing Address Details
Address
706 S Greathouse Dr
City
Atoka
State
Oklahoma
Zip
74525
Phone Number
580-889-3553
Fax Number
580-889-4050
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Oklahoma)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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