Porter, Lacie Diana

Porter, Lacie Diana is an individual health care provider with primary practice located at 400 E Polk St , Washington IA 52353-1237. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Porter, Lacie Diana can be contacted via phone (720) 299-1721.

Contact Information

Primary practice address
400 E Polk St Washington IA 52353-1237
Phone: (720) 299-1721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A177192 Iowa

Profile Details

NPI number 1487421103
LBN Legal business name Porter, Lacie Diana
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2023
Last updated Dec 7th, 2023 - about 3 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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