Anderson, Lacey

Anderson, Lacey is an sole proprietor health care provider with primary practice located at 4040 N Division St , Morris IL 60450-9357. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Anderson, Lacey can be contacted via phone (815) 416-1749.

Contact Information

Primary practice address
4040 N Division St Morris IL 60450-9357
Phone: (815) 416-1749
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1880939 Illinois

Profile Details

NPI number 1801306733
LBN Legal business name Anderson, Lacey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2017
Last updated Oct 5th, 2017 - about 7 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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