Lacie Nicole Spangler
Individual provider Active NPI Developmental Disabilities Clinic/Center · Hemlock, OH
NPI 1992406268 · NPPES record last updated Mar 14, 2023
Key facts
- NPI
- 1992406268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Disabilities Clinic/Center 261QD1600X
- Practice address
- 8845 Main St SE
Hemlock, OH 43730-9219 - Phone
- (740) 651-7031
- NPI assigned
- Mar 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Yes |
Addresses
Primary practice location
8845 Main St SE
Hemlock, OH 43730-9219
Mailing address
8845 Main St SE
Hemlock, OH 43730-9219
Phone (740) 651-7031
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.