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NPI Code Detail

MEDICARE: LACEY SUE SATO

MEDICARE:   LACEY SUE SATO
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1639961402
Entity Type Code : Individual
Provider Name (Legal Business Name) : LACEY SUE SATO
Provider Business Mailing Address
First Line : 3410 WORTH ST STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75246-2008
Country : US
Telephone Number : 419-290-6840
Fax Number :
Provider Business Practice Location Address
First Line : 3410 WORTH ST STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75246-2008
Country : US
Telephone Number : 419-290-6840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2025
Last Update Date : 05/19/2025

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Directions to “ LACEY SUE SATO ” Practice Location

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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.