LACY ELLIOTT

Peer Specialist

Active Individual
NPI: 1700471778

Practice Address

605 N ELM ST
Konawa, OK 74849

Phone: (918) 991-3654

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1700471778 is the National Provider Identifier for LACY ELLIOTT, a Peer Specialist provider located in Konawa, OK. This NPI was enumerated on March 2, 2021.
LACY ELLIOTT practices at 605 N ELM ST, Konawa, OK 74849.

Quick Facts

NPI
1700471778
Type
Individual
Enumerated
Mar 2, 2021
Last Updated
Mar 2, 2021

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