MEDICARE: LACIE ANN DAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1215892591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LACIE ANN DAY

Provider Business Mailing Address
First Line	:	4600 MOBILE HWY STE 9
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32506-3500
Country	:	US
Telephone Number	:	850-776-1636
Fax Number	:

Provider Business Practice Location Address
First Line	:	2420 S HIGHWAY 29
Second Line	:
City	:	CANTONMENT
State	:	FL
Zip	:	32533-5808
Country	:	US
Telephone Number	:	850-968-3565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “ LACIE ANN DAY ” Practice Location

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