Lacey Mora

NPI 1710307210 - Specialist - 174400000X

NPI Details
NPI 1710307210
Gender Female
Enumeration Date 04/23/2014
Last Updated 04/23/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
90 AIR PARK DR
RONKONKOMA NY, 11779-7360, US
Phone (631) 471-1954
Fax
Business Location
90 AIR PARK DR
RONKONKOMA NY, 11779-7360, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
Remove 1710307210 NPI Number
 

According to our database, Lacey Mora NPI is 1710307210, taxonomy code is 174400000X Lacey Mora physically located at 90 Air Park Dr, Ronkonkoma NY, 11779-7360. NPI Number Lacey Mora has the Individual type.

Sponsored links

1710307210 NPI number is provided on an as is basis without warranty of any kind. 1710307210 is maintained by the National Plan & Provider Enumeration System. The contents of Lacey Mora are for informational purposes only.