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NPI Code Detail

MEDICARE: DR. DOROTHY FLORIAN-LACY ED.D.

MEDICARE: DR. DOROTHY FLORIAN-LACY ED.D.
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
1101YP2500XProfessional Counselor12661TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558412205
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOROTHY FLORIAN-LACY ED.D.
Provider Business Mailing Address
First Line : 245 W 17TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-4001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 245 W 17TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-4001
Country : US
Telephone Number : 713-868-1943
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 07/08/2007

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