Andreotta, Lacey Addison
Andreotta, Lacey Addison is an sole proprietor health care provider with primary practice located at 7301 Westbank Expy , Marrero LA 70072-2448. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Andreotta, Lacey Addison can be contacted via phone (504) 347-1014.Contact Information
Primary practice address
7301 Westbank Expy
Marrero LA 70072-2448
Phone: (504) 347-1014
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6350 | Louisiana |
Profile Details
| NPI number | 1144668856 |
|---|---|
| LBN Legal business name | Andreotta, Lacey Addison |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2013 |
| Last updated | Apr 29th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144668856 | NPPES |
| Louisiana | MEDICAID | 1863505 |
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