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Lacey Liptak

Case Manager/Care Coordinator in Mount Vernon, OH. Individual provider (NPI-1).

NPI number1003696972
StatusActive
Last updated in NPPESSep 29, 2023

Details

NPI
1003696972
Entity type
Individual (NPI-1)
Name
Lacey Liptak
Sex
Female
Sole proprietor
No
Enumeration date
Sep 29, 2023
Certification date
Sep 29, 2023
Last updated
Sep 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

8402 Blackjack Rd
Mount Vernon, OH 43050-9193

Phone 740-392-0442

Mailing address

8402 Blackjack Rd
Mount Vernon, OH 43050-9193

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