Paul, Lacresha

Paul, Lacresha is an individual health care provider with primary practice located at 216 E Apache St , Farmington NM 87401-6904. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Attendant Care Provider. Nursing Service Related Providers / Attendant Care Provider is her primary health care specialty. Paul, Lacresha can be contacted via phone (505) 427-4839.

Contact Information

Primary practice address
216 E Apache St Farmington NM 87401-6904
Phone: (505) 427-4839
Fax: (505) 258-4356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X New Mexico
Nursing Service Related Providers / Homemaker 376J00000X New Mexico
Nursing Service Related Providers / Attendant Care Provider 3747A0650X New Mexico

Profile Details

NPI number 1669105904
LBN Legal business name Paul, Lacresha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2022
Last updated Jul 5th, 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 1669105904 NPPES
New Mexico MEDICAID 88-2736466

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