Anderson, Lacey Renee

Anderson, Lacey Renee is an individual health care provider with primary practice located at 835 S Van Buren St , Green Bay WI 54301-3526. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Anderson, Lacey Renee can be contacted via phone (417) 499-9141.

Contact Information

Primary practice address
835 S Van Buren St Green Bay WI 54301-3526
Phone: (417) 499-9141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 10419-33 Wisconsin

Profile Details

NPI number 1669093175
LBN Legal business name Anderson, Lacey Renee
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2020
Last updated Oct 27th, 2023 - 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.

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