Lacy, Cheryl Marie

Lacy, Cheryl Marie is an individual health care provider with primary practice located at 279 Summit Dr , Waterford MI 48328-3364. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lacy, Cheryl Marie can be contacted via phone (734) 998-7606.

Contact Information

Primary practice address
279 Summit Dr Waterford MI 48328-3364
Phone: (734) 998-7606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704203745 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704203745 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704203745 Michigan

Profile Details

NPI number 1992816797
LBN Legal business name Lacy, Cheryl Marie
Credentials A.P.R.N., B.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 10th, 2014 - about 12 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 1992816797 NPPES
Michigan MEDICAID 4824971

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