Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACEY DEAN
Active Sole ProprietorLACEY DEAN is a Specialist healthcare provider located in AUGUSTA, Kentucky. NPI 1063995736 is currently active in the NPPES registry. Verify at CMS.
Specialist · AUGUSTA, KY
Registration Details
- NPI Number
- 1063995736
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2018 (7.8958242070303 yrs)
- Last Updated
- Sep 10, 2018
- License
-
204297 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
221 MAIN ST.AUGUSTA, KY, 41002Browse KY providers · Browse ZIP 41002
- Phone
- 6064021354
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.