Search › Oklahoma › 171M00000X
Lacey Brandvold
NPI 1649949553 · on the registry since 2021
Practice
- Address
- 604 S Walnut St
Stillwater, OK 74074 - Phone
- (405) 372-2202
- Organisation at this address
- Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 147
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 171M00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-27
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 Oklahoma