Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACY MARIE CRUM
Active Sole ProprietorLACY MARIE CRUM is a Medical Physician Assistant healthcare provider located in MT STERLING, Kentucky. NPI 1174127781 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MT STERLING, KY
Registration Details
- NPI Number
- 1174127781
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 24, 2020 (5.7601567268638 yrs)
- Last Updated
- Jun 21, 2022
- License
-
PA2799 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
227 FALCON DR # 104MT STERLING, KY, 403539792Browse KY providers · Browse ZIP 40353
- Phone
- 8594975160
- Fax
- 8594975166
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.