Ante, Lacey
Ante, Lacey is an sole proprietor health care provider with primary practice located at 1371 Church Street Ext Ne Ste 200 , Marietta GA 30060-7913. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Ante, Lacey can be contacted via phone (678) 344-8900.Contact Information
Primary practice address
1371 Church Street Ext Ne Ste 200
Marietta GA 30060-7913
Phone: (678) 344-8900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 10187 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
NPI number | 1720681091 |
---|---|
LBN Legal business name | Ante, Lacey |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 19th, 2020 |
Last updated | Aug 22nd, 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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