| Lacy Denise Allen | |
|
8005 Harford Rd Parkville MD 21234-5753 | |
| (443) 707-8319 | |
| Not Available |
| Full Name | Lacy Denise Allen |
|---|---|
| Speciality | Social Worker |
| Location | 8005 Harford Rd, Parkville, Maryland |
| Authorized Official Name and Position | Lacy Denise Allen (OWNER) |
| Authorized Official Contact | 4437078319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacy Denise Allen 9008 Harford Rd Parkville MD 21234-4000 Ph: (443) 707-8319 | Lacy Denise Allen 8005 Harford Rd Parkville MD 21234-5753 Ph: (443) 707-8319 |
| NPI Number | 1992332209 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/25/2022 |
| Medicare PECOS PAC ID | 6800207630 |
|---|---|
| Medicare Enrollment ID | O20201130000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992332209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lacy Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487005278 PECOS PAC ID: 7618388448 Enrollment ID: I20201130000246 |
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