Alicea, Lara J

Alicea, Lara J is an individual health care provider with primary practice located at 2375 Baker Hospital Blvd , North Charleston SC 29405-8233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Alicea, Lara J can be contacted via phone (843) 744-2750.

Contact Information

Primary practice address
2375 Baker Hospital Blvd North Charleston SC 29405-8233
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22569 South Carolina

Profile Details

NPI number 1538624705
LBN Legal business name Alicea, Lara J
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2019
Last updated Feb 1st, 2019 - about 5 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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