| Doctor Name: | MARGARET MARY LACY |
| NPI Number: | 1043470578 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LH60215190 |
| Business Practice Address: | 15210 10th Ave Sw Ren Wellness Center Burien, WA - 981662107 |
| Business Phone Number: | 2067692022 |
| Business Fax Number: | |
| Mailing Address: | 1806 29th Ave S, SEATTLE |
| State: | WA |
| Postal Code: | 981444851 |
| Phone Number: | 2067692022 |
| Fax Number: | |
| NPI Enumeration Date: | 06/09/2008 |
| NPI Last Update Date: | 04/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH60215190 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |