Most Relevant Information
Provider Data
| NPI Number: | 1003636762 |
| Provider Name: | LACEY NICHOLE LOVRICH LGPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | LGP15748 |
Most Important Dates
| Enumeration Date: | 10/16/2024 |
| Last Updated: | 10/16/2024 |
Provider Practice Location
1208 E CHURCHVILLE RD STE 300
BEL AIR
MD
210143485
Practice Location Phone/Fax
| Phone: | 0000000000 |
| Fax: |
Provider Mailing Location
841 E WHEEL RD
BEL AIR
MD
210156318
Provider Mailing Phone/Fax
| Phone: | 4436164827 |
| Fax: |