Lacey Witham, M.S

NPI 1982903001 · on the registry since 2011 · sole proprietor

Practice

Address: 12530 10th St.
#C
Chino, CA 91710
Phone: (626) 536-2664
Organisation at this address: Phoenix Therapy
Jay Chao O.D. Inc.
Diana Lee Dds, Inc.
Autism Behavior Centers Inc
Nixon Psychological Institute, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-03-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California