Lacey Mora is a Specialist based in Ronkonkoma, NY. Lacey Mora practices in Ronkonkoma, NY. The NPI Number for Lacey Mora is 1710307210 and holds a License No. (New York).
The current practice location address for Lacey Mora is 90 Air Park Dr, Ronkonkoma, NY and can be reached out via phone at 631-471-1954.
Location: 90 Air Park Dr, Ronkonkoma, NY, 11779-7360
Provider Profile Details
NPI Number
1710307210
Provider Name
Lacey Mora
Credential
Provider Entity Type
Individual
Gender
Female
Address
90 Air Park Dr, Ronkonkoma, NY, 11779-7360
Phone Number
631-471-1954
Fax Number
Provider Enumeration Date
04/23/2014
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
90 Air Park Dr
City
State
Zip
11779-7360
Phone Number
631-471-1954
Fax Number
Provider Business Mailing Address Details
Address
90 Air Park Dr
City
State
Zip
11779-7360
Phone Number
631-471-1954
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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