Birdseye, Lacy C
Birdseye, Lacy C is an individual health care provider with primary practice located at 187 Forest Ave , Fairfield CT 06824-6573. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Birdseye, Lacy C can be contacted via phone (203) 255-0695.Contact Information
Primary practice address
187 Forest Ave
Fairfield CT 06824-6573
Phone: (203) 255-0695
Fax: (203) 255-0629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 004853 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 004853 | Connecticut |
Profile Details
| NPI number | 1972872463 |
|---|---|
| LBN Legal business name | Birdseye, Lacy C |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2011 |
| Last updated | Dec 22nd, 2016 - about 10 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.
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