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: LACY SMITH

MEDICARE: LACY SMITH
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
1224Z00000XOccupational Therapy AssistantOTA003116GA

General Provider Information

NPI Number : 1639968761
Entity Type Code : Individual
Provider Name (Legal Business Name) : LACY SMITH
Provider Business Mailing Address
First Line : 11660 ALPHARETTA HWY STE 200
Second Line :
City : ROSWELL
State : GA
Zip : 30076-3874
Country : US
Telephone Number : 404-436-7416
Fax Number :
Provider Business Practice Location Address
First Line : 11660 ALPHARETTA HWY STE 200
Second Line :
City : ROSWELL
State : GA
Zip : 30076-3874
Country : US
Telephone Number : 404-436-7416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2025
Last Update Date : 05/05/2025

Similar Medicare Providers

1124649173 — SAWDUST OCCUPATIONAL THERAPY LLC
Practice Location Address:
11660 ALPHARETTA HWY STE 200
ROSWELL, GA
30076-3874
Practice Phone: 404-436-7416
Practice Fax:
1104395813 — BENJAMIN HOUSTON KEELING MSOT
Practice Location Address:
11660 ALPHARETTA HWY STE 200
ROSWELL, GA
30076-3874
Practice Phone: 404-436-7416
Practice Fax: 770-643-0869
1659110146 — TRAVIS L NADEAU OTR/L
Practice Location Address:
11660 ALPHARETTA HWY STE 200
ROSWELL, GA
30076-3874
Practice Phone: 678-679-2932
Practice Fax:
1609687375 — CHRISTOPHER RODRIGUEZ
Practice Location Address:
11660 ALPHARETTA HWY STE 200
ROSWELL, GA
30076-3874
Practice Phone: 404-436-7416
Practice Fax: 470-533-1522
1134015100 — OLIVIA MULLEN OTD, OTR/L
Practice Location Address:
11660 ALPHARETTA HWY STE 200
ROSWELL, GA
30076-3874
Practice Phone: 404-436-7416
Practice Fax:
1790625747 — CROWNING MOMENTS WOMENS HEALTHCARE
Practice Location Address:
1260 UPPER HEMBREE RD STE A
ROSWELL, GA
30076-4611
Practice Phone: 404-381-2207
Practice Fax: 833-692-6342

Directions to “ LACY SMITH ” 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.