Boutwell, Lacy
Boutwell, Lacy is an individual health care provider with primary practice located at 524 S Houston Lake Rd Ste B300 , Warner Robins GA 31088-9042. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Boutwell, Lacy can be contacted via phone (678) 910-3940.Contact Information
Primary practice address
524 S Houston Lake Rd Ste B300
Warner Robins GA 31088-9042
Phone: (678) 910-3940
Fax: (404) 464-0819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP008941 | Georgia |
Profile Details
| NPI number | 1164998928 |
|---|---|
| LBN Legal business name | Boutwell, Lacy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2018 |
| Last updated | Oct 19th, 2018 - about 8 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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