Dr. Autumn Lacy's National Provider Identifier (NPI) Details
Dr. Autumn Lacy, LPC, NCC
NPI: 1942535968
Enumeration Date: 2009-10-08
Last updated: 2011-12-07
Sole Proprietor: NO
Status: active
Postal Address: 627 BAY SHORE DR, OSHKOSH, WI
Phone: 920-426-8988
Primary Practice Address: 2560 HEARTHSTONE DR, OSHKOSH, WI
Practice's phone: 920-379-6598