Thomas, Lacey Angelle

Thomas, Lacey Angelle is an sole proprietor health care provider with primary practice located at Pediatrix-4600 Ambassador Caffery , Lafayette LA 70508. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Thomas, Lacey Angelle can be contacted via phone (337) 981-9316.

Contact Information

Primary practice address
Pediatrix-4600 Ambassador Caffery Lafayette LA 70508
Phone: (337) 981-9316
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X RN119251 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP07765 Louisiana

Profile Details

NPI number 1174946032
LBN Legal business name Thomas, Lacey Angelle
Credentials APRN, NNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2014
Last updated Nov 3rd, 2020 - about 6 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 1174946032 NPPES
Louisiana MEDICAID 2371525

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