SearchWest Virginia175T00000X

Kelli Lacy, PRSS

NPI 1013643352 · on the registry since 2022

Practice

Address
509 Main St
Logan, WV 25601
Phone
(304) 896-5008
Clinicians at this address
2

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia