Lacey, Ouida Michelle

Lacey, Ouida Michelle is an individual health care provider with primary practice located at 1305 Wonder World Dr Ste 300 , San Marcos TX 78666-7541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lacey, Ouida Michelle can be contacted via phone (512) 396-3545.

Contact Information

Primary practice address
1305 Wonder World Dr Ste 300 San Marcos TX 78666-7541
Phone: (512) 396-3545
Fax: (512) 396-1349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 767493 Texas

Profile Details

NPI number 1689912909
LBN Legal business name Lacey, Ouida Michelle
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2013
Last updated Jul 1st, 2021 - about 5 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 1689912909 NPPES
Other P02239928 RR MEDICARE
Other 297946YMG2 RR MEDICARE
MEDICAID 192390601 RR MEDICARE

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