Provider Demographics
NPI:1144023821
Name:CHEUVRONT, LACIE
Entity type:Individual
Prefix:
First Name:LACIE
Middle Name:
Last Name:CHEUVRONT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7231 BLOSSOM GATE DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-7776
Mailing Address - Country:US
Mailing Address - Phone:330-323-3654
Mailing Address - Fax:
Practice Address - Street 1:7231 BLOSSOM GATE DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-7776
Practice Address - Country:US
Practice Address - Phone:330-323-3654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant