Birdseye, Lacy C

Birdseye, Lacy C is an individual health care provider with primary practice located at 187 Forest Ave , Fairfield CT 06824-6573. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Birdseye, Lacy C can be contacted via phone (203) 255-0695.

Contact Information

Primary practice address
187 Forest Ave Fairfield CT 06824-6573
Phone: (203) 255-0695
Fax: (203) 255-0629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 004853 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 004853 Connecticut

Profile Details

NPI number 1972872463
LBN Legal business name Birdseye, Lacy C
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2011
Last updated Dec 22nd, 2016 - about 9 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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