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Ms. Lacey Diaz Habben
Student in an Organized Health Care Education/Training Program in Southbridge, Massachusetts
NPI 1932428752

Lacey Diaz Habben is a Student in an Organized Health Care Education/Training Program based in Rochdale, MA. Lacey Diaz Habben practices in Southbridge, MA. The NPI Number for Lacey Diaz Habben is 1932428752 and holds a License No. (Massachusetts).

The current practice location address for Lacey Diaz Habben is 29 Pine St, Southbridge, MA and can be reached out via phone at 508-765-9167.

Location: 29 Pine St, Southbridge, MA, 01542-0125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932428752
Provider Name
Lacey Diaz Habben
Credential
Provider Entity Type
Individual
Gender
Female
Address
29 Pine St, Southbridge, MA, 01542-0125
Phone Number
508-765-9167
Fax Number
Provider Enumeration Date
05/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
29 Pine St
City
Southbridge
State
Massachusetts
Zip
01550-1823
Phone Number
508-765-9167
Fax Number
person
Provider Business Mailing Address Details
Address
29 Pine St
City
Southbridge
State
Massachusetts
Zip
01550-1823
Phone Number
508-765-9167
Fax Number
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.
()
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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