NPI 1043954712
Brittney Carrio Lacey
Practice location
- Address
- 400 Crater Lake Ave, Medford, OR 97504-6808
- Phone
- (541) 613-6505
- Fax
- (541) 770-9212
- Mailing address
- 113 N Elm St, Canby, OR 97013-3519
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1043954712
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Apr 2022
- Record last updated
- 27 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.