Lacie M Lesueur | Virginia Beach, VA • PECOS Search

Lacie M Lesueur

Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

633 Independence Blvd Ste A, Virginia Beach, VA 23462-2200

(757) 962-6191 (850) 814-5618

PECOS Enrollment

Based on the most recent information from CMS, provider Lacie M Lesueur does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 9 days ago.

Profile Details

Provider ID
1912796962
Provider Type
Individual
Full Name
Lesueur, Lacie M
Title
Ms.
Credential
LMT

Gender
Female
Sole Proprietor
No
Enumeration Date
5/5/2025
Last Updated
5/5/2025

Contact Information

Practice Location

633 Independence Blvd Ste A, Virginia Beach, VA 23462-2200

Unlisted Fax

Mailing Location

711 Ridgeway Ave, Hampton, VA 23661-1106

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225700000X Primary	Description Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 0019017594 Virginia