Individual ProviderJordyn Marie LaceyStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address270 Copperfield Blvd NE Ste 202, Concord, NC 28025-2441(704) 721-2060PECOS EnrollmentBased on the most recent information from CMS, provider Jordyn Marie Lacey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1134832470Provider TypeIndividualFull NameLacey, Jordyn MarieCredentialDOGenderFemaleSole ProprietorNoEnumeration Date1/2/2023Last Updated3/25/2025Contact InformationPractice LocationPractice Address270 Copperfield Blvd NE Ste 202, Concord, NC 28025-2441Phone(704) 721-2060FaxUnlisted FaxMailing LocationMailing Address270 Copperfield Blvd NE Ste 202, Concord, NC 28025-2441Phone(704) 721-2060FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer