Kianna Janae Lacy, OT is a
Occupational Therapist based in Justin, Texas. Kianna Janae Lacy is licensed to practice in Texas (license number 124732) and her current practice location is
17516 Matany Rd Ste 100, Justin, Texas. She can be reached at her office (for appointments etc.) via phone at
(940) 654-4011.
NPI number for Kianna Janae Lacy is 1275371809 and her current mailing address is 3909 N Loop 288 Apt 3302, Denton, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275371809.
Healthcare Provider's Profile
| Full Name | Kianna Janae Lacy |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 17516 Matany Rd Ste 100, Justin, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275371809
- Provider Enumeration Date: 07/17/2024
- Last Update Date: 07/17/2024
Medical Identifiers
Medical identifiers for Kianna Janae Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275371809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 124732 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kianna Janae Lacy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kianna Janae Lacy, OT
3909 N Loop 288 Apt 3302,
Denton, TX 76208-7707
Ph: (817) 727-3071 | Kianna Janae Lacy, OT
17516 Matany Rd Ste 100,
Justin, TX 76247-8707
Ph: (940) 654-4011 |
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