Thompson, Lacey Kathleen
Thompson, Lacey Kathleen is an individual health care provider with primary practice located at 125 Crestview Park Dr Ste 2 , Dickson TN 37055-2853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Thompson, Lacey Kathleen can be contacted via phone (615) 446-1370.Contact Information
Primary practice address
125 Crestview Park Dr Ste 2
Dickson TN 37055-2853
Phone: (615) 446-1370
Fax: (615) 560-5998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1366965287 |
|---|---|
| LBN Legal business name | Thompson, Lacey Kathleen |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2017 |
| Last updated | Oct 28th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366965287 | NPPES |
| Alabama | Other | PA-1566 | AL LICENSE |
| Alabama | Other | PA3412 | AL LICENSE |
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