Lacy Keith's National Provider Identifier (NPI) Details
Lacy Keith, M.A.
NPI: 1821116294
Enumeration Date: 2007-03-26
Last updated: 2013-05-06
Sole Proprietor: NO
Status: active
Postal Address: 1525 S AVENUE C, PORTALES, NM
Phone: 575-309-3868
Primary Practice Address: 300 E 1ST ST, PORTALES, NM
Practice's phone: 575-359-1221