Crimmins, Laccey Louise

Crimmins, Laccey Louise is an sole proprietor health care provider with primary practice located at 802 Kenyon Rd , Fort Dodge IA 50501-5740. 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 / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Crimmins, Laccey Louise can be contacted via phone (515) 573-3101.

Contact Information

Primary practice address
802 Kenyon Rd Fort Dodge IA 50501-5740
Phone: (515) 573-3101
Fax: (515) 574-6754
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A162720 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A162720 Iowa

Profile Details

NPI number 1902497597
LBN Legal business name Crimmins, Laccey Louise
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2021
Last updated Mar 4th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902497597 NPPES
Iowa MEDICAID F01210805

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