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Lacey Jo Cannon
Home Health Aide in Keyser, West Virginia
NPI 1811609167

Lacey Jo Cannon is a Home Health Aide based in Keyser, WV. Lacey Jo Cannon practices in Keyser, WV. The NPI Number for Lacey Jo Cannon is 1811609167 and holds a License No. 70974 (West Virginia).

The current practice location address for Lacey Jo Cannon is 1952 New Creek Hwy, Keyser, WV and can be reached out via phone at 304-597-1258.

Location: 1952 New Creek Hwy, Keyser, WV, 26726-7494
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811609167
Provider Name
Lacey Jo Cannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1952 New Creek Hwy, Keyser, WV, 26726-7494
Phone Number
304-597-1258
Fax Number
Provider Enumeration Date
12/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70974 05 WV
institution
Provider Business Practice Location Address Details
Address
1952 New Creek Hwy
City
Keyser
State
West Virginia
Zip
26726-7494
Phone Number
304-597-1258
Fax Number
person
Provider Business Mailing Address Details
Address
1952 New Creek Hwy
City
Keyser
State
West Virginia
Zip
26726-7494
Phone Number
304-597-1258
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
70974 (West Virginia)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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