Sullivan, Lacey

Sullivan, Lacey is an individual health care provider with primary practice located at 2809 Denny Ave , Pascagoula MS 39581. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Sullivan, Lacey can be contacted via phone (228) 818-6063.

Contact Information

Primary practice address
2809 Denny Ave Pascagoula MS 39581
Fax: (228) 809-2254
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD.35922 Alabama

Profile Details

NPI number 1962707745
LBN Legal business name Sullivan, Lacey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2011
Last updated Jun 3rd, 2019 - about 7 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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