NPI 1932428752

Lacey Diaz Habben

Practitioner Student in an Organized Health Care Education/Training Program Southbridge, MA

Practice location

Address: 29 Pine St, Southbridge, MA 01550-1823
Phone: (508) 765-9167
Mailing address: PO Box 125, Rochdale, MA 01542-0125

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Massachusetts →

Registry record

NPI: 1932428752
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2010
Record last updated: 2 Sep 2011

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.