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Lacy Lynn Granger

NPI 1831704188ActiveIndividual· Occupational Therapy Assistant· Peoria, AZ

Occupational Therapy Assistant in Peoria, Arizona, licensed in AZ, with an NPI issued in September 2020.

Overview

NPI1831704188
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 14, 2020
Last updated in NPPESSep 14, 2020
Certified by providerSep 14, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary224Z00000X046846AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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