Lacy Eubanks
Peer Specialist in Tulsa, OK. Individual provider (NPI-1).
NPI number1114705142
StatusActive
Last updated in NPPESSep 20, 2023
Details
- NPI
- 1114705142
- Entity type
- Individual (NPI-1)
- Name
- Lacy Eubanks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2023
- Certification date
- Sep 20, 2023
- Last updated
- Sep 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
1608 S Elwood AveTulsa, OK 74119-4208
Phone 918-587-3888
Mailing address
1608 S Elwood AveTulsa, OK 74119-4208
Phone 918-587-3888
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