Individual provider · Type 1 NPI

Lacey Blue Mohar, DC

Student in an Organized Health Care Education/Training Program · Depew, NY

NPI number 1457683989 Active

Practice location

1049 Borden Rd
Depew, NY 14043-4604

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1457683989

Lacey Blue Mohar, DC's National Provider Identifier is 1457683989, issued on Feb 9, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Depew, NY. The record was last updated on Feb 9, 2010.