Alfonso, Lacie Arnold

Alfonso, Lacie Arnold is an individual health care provider with primary practice located at 30901 Greenwell Springs Rd , Greenwell Springs LA 70739-6313. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Alfonso, Lacie Arnold can be contacted via phone (225) 362-9003.

Contact Information

Primary practice address
30901 Greenwell Springs Rd Greenwell Springs LA 70739-6313
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 025460 Louisiana
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 025430 Louisiana

Profile Details

NPI number 1841259777
LBN Legal business name Alfonso, Lacie Arnold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Apr 7th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841259777 NPPES
Mississippi MEDICAID 06003510
Mississippi MEDICAID 1574686

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