Mckeowen, Lacey

Mckeowen, Lacey is an individual health care provider with primary practice located at 940 Holly St , Orangeburg SC 29115-4930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mckeowen, Lacey can be contacted via phone (803) 536-2725.

Contact Information

Primary practice address
940 Holly St Orangeburg SC 29115-4930
Fax: (803) 534-3118
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20741 South Carolina

Profile Details

NPI number 1396283404
LBN Legal business name Mckeowen, Lacey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2017
Last updated Feb 9th, 2017 - about 9 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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