Douglas, Lacy Alvin
Douglas, Lacy Alvin is an individual health care provider with primary practice located at 1160 Apalachee Pkwy , Tallahassee FL 32301-4542. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Douglas, Lacy Alvin can be contacted via phone (850) 878-8843.Contact Information
Primary practice address
1160 Apalachee Pkwy
Tallahassee FL 32301-4542
Phone: (850) 878-8843
Fax: (850) 681-2848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9101621 | Florida |
Profile Details
| NPI number | 1609993112 |
|---|---|
| LBN Legal business name | Douglas, Lacy Alvin |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | May 5th, 2015 - about 11 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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