Boggan, Lacey

Boggan, Lacey is an sole proprietor health care provider with primary practice located at 9 N Main St , Deer Park WA 99006. She recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as her primary health care specialty. Boggan, Lacey can be contacted via phone (509) 276-0026.

Contact Information

Primary practice address
9 N Main St Deer Park WA 99006
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X Washington

Profile Details

NPI number 1053709865
LBN Legal business name Boggan, Lacey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2014
Last updated Dec 31st, 2014 - about 11 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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