Lacy, Jon Charles
Lacy, Jon Charles is an individual health care provider with primary practice located at 6368 Hollywood Blvd , Los Angeles CA 90028-6320. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lacy, Jon Charles can be contacted via phone (323) 469-5555.Contact Information
Primary practice address
6368 Hollywood Blvd
Los Angeles CA 90028-6320
Phone: (323) 469-5555
Fax: (323) 466-0405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA22770 | California |
Profile Details
| NPI number | 1588907638 |
|---|---|
| LBN Legal business name | Lacy, Jon Charles |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2013 |
| Last updated | Sep 21st, 2016 - about 10 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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