Most Relevant Information
Provider Data
| NPI Number: | 1003412628 |
| Provider Name: | ANNE LACY |
| Entity Type: | Individual |
| Taxonomy Code: | 376J00000X |
| Specialty: | Homemaker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/09/2020 |
| Last Updated: | 12/09/2020 |
Provider Practice Location
101 2ND ST STE 201
SUTTON
WV
266011303
Practice Location Phone/Fax
| Phone: | 3047653668 |
| Fax: | 3047653697 |
Provider Mailing Location
402 SAWYER RD
BIG BEND
WV
26136
Provider Mailing Phone/Fax
| Phone: | 3043540195 |
| Fax: | 3044712488 |