DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LACEY JAI BLACKWELL

MEDICARE: LACEY JAI BLACKWELL
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1629452966
Entity Type Code : Individual
Provider Name (Legal Business Name) : LACEY JAI BLACKWELL
Provider Business Mailing Address
First Line : 1616 N GILCREASE MUSEUM RD
Second Line :
City : TULSA
State : OK
Zip : 74127-2101
Country : US
Telephone Number : 210-627-4013
Fax Number :
Provider Business Practice Location Address
First Line : 1616 N GILCREASE MUSEUM RD
Second Line :
City : TULSA
State : OK
Zip : 74127-2101
Country : US
Telephone Number : 210-627-4013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2015
Last Update Date : 07/16/2015

Similar Medicare Providers

1174455505 — JASMINE ARELLANO
Practice Location Address:
1616 N GILCREASE MUSEUM RD
TULSA, OK
74127-2101
Practice Phone: 918-516-8430
Practice Fax:
1245571488 — JAMI KRISTEN PEREIRA LCSW
Practice Location Address:
1616 N GILCREASE MUSEUM RD
TULSA, OK
74127-2101
Practice Phone: 405-698-0550
Practice Fax:
1255710984 — MRS. STEPHANIE ELAINE LEDFORD
Practice Location Address:
1616 N GILCREASE MUSEUM RD
TULSA, OK
74127-2101
Practice Phone: 405-426-5070
Practice Fax:
1396110532 — KELLY PLUNKETT
Practice Location Address:
1616 N GILCREASE MUSEUM RD
TULSA, OK
74127-2101
Practice Phone: 918-804-8987
Practice Fax:
1437625654 — CIRCLE OF CARE, INC
Practice Location Address:
1616 N GILCREASE MUSEUM RD
TULSA, OK
74127-2101
Practice Phone: 405-698-0550
Practice Fax:
1417429358 — MS. HEATHER DAWN BROWN
Practice Location Address:
1616 N GILCREASE MUSEUM RD
TULSA, OK
74127-2101
Practice Phone: 918-840-7871
Practice Fax:

Directions to “ LACEY JAI BLACKWELL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.