Individual provider · Type 1 NPI

Lacey Diaz Habben

Student in an Organized Health Care Education/Training Program · Southbridge, MA

NPI number 1932428752 Active

Practice location

29 Pine St
Southbridge, MA 01550-1823

Call (508) 765-9167 Map

Mailing address

PO Box 125
Rochdale, MA 01542-0125

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 1932428752

Lacey Diaz Habben's National Provider Identifier is 1932428752, issued on May 18, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southbridge, MA. The record was last updated on Sep 2, 2011.