Individual provider · Type 1 NPI

Blake Michael Lacy

Student in an Organized Health Care Education/Training Program · Huntington, WV

NPI number 1982478558 Active

Practice location

1181 S Jefferson Dr
Huntington, WV 25701-4362

Call (304) 208-7430 Map

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 1982478558

Blake Michael Lacy's National Provider Identifier is 1982478558, issued on Nov 14, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Huntington, WV. The record was last updated on Nov 14, 2023.