Clark, Lacey Jane
Clark, Lacey Jane is an individual health care provider with primary practice located at 8300 Constantin Blvd , Baton Rouge LA 70809-3489. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clark, Lacey Jane can be contacted via phone (225) 374-1303.Contact Information
Primary practice address
8300 Constantin Blvd
Baton Rouge LA 70809-3489
Phone: (225) 374-1303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | NA | Louisiana |
Profile Details
| NPI number | 1366970121 |
|---|---|
| LBN Legal business name | Clark, Lacey Jane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2017 |
| Last updated | Nov 21st, 2019 - about 7 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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