Weston, Lacey Leann
Weston, Lacey Leann is an sole proprietor health care provider with primary practice located at 889 East Main St. , Melbourne AR 72556. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Weston, Lacey Leann can be contacted via phone (870) 368-4586.Contact Information
Primary practice address
889 East Main St.
Melbourne AR 72556
Phone: (870) 368-4586
Fax: (870) 368-4587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2053 | Arkansas |
Profile Details
| NPI number | 1962539338 |
|---|---|
| LBN Legal business name | Weston, Lacey Leann |
| Credentials | LPTA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Aug 9th, 2022 - about 4 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 | 1962539338 | NPPES |
| Arkansas | MEDICAID | 122852742 | |
| Arkansas | MEDICAID | 145863778 | |
| Arkansas | MEDICAID | 160417721 |
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