Lacy, Patricia Ellen

Lacy, Patricia Ellen is an individual health care provider with primary practice located at 100 Kellie Dr , Smithfield NC 27577-9444. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lacy, Patricia Ellen can be contacted via phone (919) 934-1094.

Contact Information

Primary practice address
100 Kellie Dr Smithfield NC 27577-9444
Phone: (919) 934-1094
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085-003725 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2107 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-12561 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110005367 Virginia

Profile Details

NPI number 1841453925
LBN Legal business name Lacy, Patricia Ellen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Sep 8th, 2022 - about 4 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 1841453925 NPPES
North Carolina Other 0010-12561 MEDICAL LICENSE

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