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Lacey Davis, MEDPLPC
Student in an Organized Health Care Education/Training Program in Mexico, Missouri
NPI 1578815627

Lacey Davis is a Student in an Organized Health Care Education/Training Program based in Mexico, MO. Lacey Davis practices in Mexico, MO and has the professional credentials of MEDPLPC. The NPI Number for Lacey Davis is 1578815627 and holds a License No. 2011039351 (Missouri).

The current practice location address for Lacey Davis is 2726 S Clark St, Mexico, MO and can be reached out via phone at 573-253-6939.

Location: 2726 S Clark St, Mexico, MO, 65265-3366
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578815627
Provider Name
Lacey Davis
Credential
MEDPLPC
Provider Entity Type
Individual
Gender
Female
Address
2726 S Clark St, Mexico, MO, 65265-3366
Phone Number
573-253-6939
Fax Number
Provider Enumeration Date
10/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2726 S Clark St
City
Mexico
State
Missouri
Zip
65265-3803
Phone Number
573-253-6939
Fax Number
person
Provider Business Mailing Address Details
Address
2726 S Clark St
City
Mexico
State
Missouri
Zip
65265-3803
Phone Number
573-253-6939
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
(Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2011039351 (Missouri)
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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