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NPI Code Detail

MEDICARE: MS. LACEY STROZIER CCC-SLP

MEDICARE:  MS. LACEY  STROZIER  CCC-SLP
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
1235Z00000XSpeech-Language PathologistSLP009713GA

General Provider Information

NPI Number : 1558887380
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LACEY STROZIER CCC-SLP
Provider Business Mailing Address
First Line : 2639 GLENVALLEY DR
Second Line :
City : DECATUR
State : GA
Zip : 30032-4224
Country : US
Telephone Number : 404-441-3633
Fax Number :
Provider Business Practice Location Address
First Line : 5408 PARK CIR
Second Line :
City : STONE MOUNTAIN
State : GA
Zip : 30083-2260
Country : US
Telephone Number : 404-441-3633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2017
Last Update Date : 08/14/2017

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Directions to “ MS. LACEY STROZIER CCC-SLP” Practice Location

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