Lacey, Anne Loretta
Lacey, Anne Loretta is an individual health care provider with primary practice located at 207 S Main St , Newmarket NH 03857-1843. 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 / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lacey, Anne Loretta can be contacted via phone (603) 659-3106.Contact Information
Primary practice address
207 S Main St
Newmarket NH 03857-1843
Phone: (603) 659-3106
Fax: (603) 659-8003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 033239-23 | New Hampshire |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 033239-23 | New Hampshire |
Profile Details
| NPI number | 1952592701 |
|---|---|
| LBN Legal business name | Lacey, Anne Loretta |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2007 |
| Last updated | Mar 6th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952592701 | NPPES |
| New Hampshire | MEDICAID | 30011426 |
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