Individual provider · Type 1 NPI

Caleb Lacy

Student in an Organized Health Care Education/Training Program · Conway, AR

NPI number 1063324739 Active

Practice location

825 Oak St
Conway, AR 72032-4407

Call (501) 336-8684 Map

Mailing address

197 Copenhaver Trl
Hot Springs, AR 71901-8499

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPI23756 (AR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063324739

Caleb Lacy's National Provider Identifier is 1063324739, issued on Sep 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Conway, AR. The record was last updated on Sep 18, 2026.