Sansburn, Lacy Elizabeth

Sansburn, Lacy Elizabeth is an individual health care provider with primary practice located at 141 Hillcrest Dr , Clarksville TN 37043-5088. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Sansburn, Lacy Elizabeth can be contacted via phone (931) 552-4340.

Contact Information

Primary practice address
141 Hillcrest Dr Clarksville TN 37043-5088
Phone: (931) 552-4340
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 13908 Tennessee

Profile Details

NPI number 1154093821
LBN Legal business name Sansburn, Lacy Elizabeth
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2021
Last updated May 23rd, 2024 - about last year

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 1154093821 NPPES
Tennessee MEDICAID Q070228

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