MICHAEL LACY


Address: 4104 Shiloh Valley Rd, Edmond, OK 73034-6912
Phone: 4054820313

MICHAEL LACY (NPI# 1548731789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548731789
Entity Type Individual
Full Name MICHAEL LACY
Practice Address 4104 Shiloh Valley Rd
Edmond
OK 73034-6912
Practice Telephone 4054820313
Mailing Telephone 4054820313
Enumeration Date 2018-12-16
Last Update Date 2018-12-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers MICHAEL LACY

NPI Name Taxonomy Address Enumeration
1477168201 Michael Lacy Home Health Aide 2542 Bodie Mountain Rd, Colville, WA 99114-9663 2020-09-09
1710357744 Michael Lacy Counselor 9182 Colonsay Way, Sacramento, CA 95829-1513 2015-10-02
1801277157 Michael Lorenzo Lacy II Non-emergency Medical Transport (VAN) 7651 Westbank Ave, Houston, TX 77064-8216 2015-06-12
1285825398 Michael Lacy Counselor 2000 E 15th St Ste 150c, Edmond, OK 73013-6679 2007-08-05
1982691465 Michael R Lacy Pediatrics 1129 Hale Rd, Memphis, TN 38116-6373 2005-09-30

Office Location

Street Address 4104 SHILOH VALLEY RD
City EDMOND
State OK
Zip Code 73034-6912

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306447172 Saints Medical Group, LLC Family Medicine 2749 Progressive Dr, Suite B, Edmond, OK 73034 2020-11-06
1194339861 Susan Haesook Kim Pharmacist 1400 2nd St, Edmod, Edmond, OK 73034 2020-09-01
1821616038 Aaron Michael Gowens Specialist/Technologist 015 Wantland Hall 100 University Dr., Edmond, OK 73034 2020-07-14
1043834849 Paddington Place Lcc Intermediate Care Facility, Mental Illness 3225 French Park Drive, Suite 6, Edmond, OK 73034 2020-06-08
1083254932 Purpose Healthcare Inc Psychologist 301 South Blvd, Suite 117, Edmond, OK 73034 2020-01-08
1740773662 Healthcare Express, LLP Family Medicine 2300 E 2nd St, Edmond, OK 73034 2018-06-14
1427555713 Sara Nicole Smith Specialist/Technologist 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 2018-04-12
1619475084 Carissa Leigh Brackelsberg Chiropractor 3709 E 2nd St, Edmond, OK 73034 2018-01-31
1760996177 Laurel Michelle Glendening Physical Therapist 3531 River Wood Lane, Edmond, OK 73034 2017-11-21
1134643380 Keith S Quinn Dentist 3008 Peaceful Ln, Edmond, OK 73034 2017-07-31
Find all providers in zip 73034

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861091548 Ryan Vanmeter Peer Specialist 1965 Ladera Ln, Edmond, OK 73034-9787 2020-10-22
1679184717 Sacy Stegall Peer Specialist 2902 Amanda Dr, Edmond, OK 73034-8971 2020-08-12
1225656309 Preston Rody Peer Specialist 17861 Prairie Sky Way, Edmond, OK 73012-6628 2020-07-06
1730704156 Ace Parchami Peer Specialist 4128 Nw 155th St, Edmond, OK 73013-9139 2020-06-11
1912568460 Amber Peitzmeier Peer Specialist 16009 Katie Ridge Dr, Edmond, OK 73013-1498 2019-06-25
1326601683 Raymond N Baker Peer Specialist 2309 Tuscan Ln, Edmond, OK 73034-6985 2019-04-22
1851859185 Tessa Ranae Linn Peer Specialist 21918 Douglas Ave, Edmond, OK 73012-3218 2019-03-05
1063977395 Kyle Ray Hankins Peer Specialist 313 E Edwards St, Edmond, OK 73034-4528 2019-01-31
1275006975 Brady Reynolds Peer Specialist 1301 Shalamar Rd, Edmond, OK 73013-6026 2019-01-04
1073084554 Benjamin Ortiz Peer Specialist 1920 E 2nd St Apt 2714, Edmond, OK 73034-6379 2018-12-10
Find all providers in EDMOND

Competitor

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City EDMOND
Zip Code 73034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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