Lacy, Comfort O
Lacy, Comfort O is an sole proprietor health care provider with primary practice located at 2222 E State St Ste 209 , Rockford IL 61104-1572. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, 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, Comfort O can be contacted via phone (815) 988-8500.Contact Information
Primary practice address
2222 E State St Ste 209
Rockford IL 61104-1572
Phone: (815) 988-8500
Fax: (815) 977-5956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209018397 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 209018397 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209018397 | Illinois |
Profile Details
| NPI number | 1497221162 |
|---|---|
| LBN Legal business name | Lacy, Comfort O |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2018 |
| Last updated | Feb 3rd, 2025 - about last year |
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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