National Provider Identifier
Lacey Johnson
Lacey Johnson is listed in the NPPES registry with a primary specialty of Counselor in Palmyra, NY and a listed phone number of (315) 331-2300.
Profile Overview
- NPI
- 1710418082
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- March 27, 2017
- Last Updated
- March 27, 2017
Practice Location
- 3655 Armington RD
- Palmyra, NY 14522-9607
Phone: (315) 331-2300
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1710418082
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Lacey
- Mailing Street Address
- 3655 Armington RD
- Mailing City
- Palmyra
- Mailing State
- NY
- Mailing ZIP Code
- 14522-9607
- Mailing Country
- US
- Mailing Phone
- (315) 331-2300
- Practice Street Address
- 3655 Armington RD
- Practice City
- Palmyra
- Practice State
- NY
- Practice ZIP Code
- 14522-9607
- Practice Country
- US
- Practice Phone
- (315) 331-2300
- Enumeration Date
- March 27, 2017
- Last Updated
- March 27, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)