National Provider Identifier
Lacey Blue Mohar, DC
Lacey Blue Mohar, DC is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Depew, NY and a listed phone number of (315) 283-4621.
Profile Overview
- NPI
- 1457683989
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- February 09, 2010
- Last Updated
- February 09, 2010
Practice Location
- 1049 Borden RD
- Depew, NY 14043-4604
Phone: (315) 283-4621
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1457683989
- Entity Type
- Individual
- Last Name
- Mohar
- First Name
- Lacey
- Middle Name
- Blue
- Name Prefix
- Miss
- Credential
- DC
- Mailing Street Address
- 1049 Borden RD
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-4604
- Mailing Country
- US
- Mailing Phone
- (315) 283-4621
- Practice Street Address
- 1049 Borden RD
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-4604
- Practice Country
- US
- Practice Phone
- (315) 283-4621
- Enumeration Date
- February 09, 2010
- Last Updated
- February 09, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)