Mcroy, Lacey

Mcroy, Lacey is an individual health care provider with primary practice located at 1160 Kepler Dr , Green Bay WI 54311-8321. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Mcroy, Lacey can be contacted via phone (920) 288-8000.

Contact Information

Primary practice address
1160 Kepler Dr Green Bay WI 54311-8321
Phone: (920) 288-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 070020112 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 070020112 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13273 Wisconsin

Profile Details

NPI number 1811322845
LBN Legal business name Mcroy, Lacey
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2013
Last updated Jan 12th, 2016 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811322845 NPPES
Illinois MEDICAID 070020112

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