NPI 1134307440

Lacy Clemmons

Practitioner Other Technician Shawnee, OK

Practice location

Address: 1010 E 45th St, Shawnee, OK 74804-2202
Phone: (405) 273-1170

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Oklahoma →

Registry record

NPI: 1134307440
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Feb 2008
Record last updated: 8 Feb 2008

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.