Bracken, Lacey Dennis

Bracken, Lacey Dennis is an individual health care provider with primary practice located at 1149 W 13Th St , Jacksonville FL 32209-5610. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Bracken, Lacey Dennis can be contacted via phone (770) 778-1938.

Contact Information

Primary practice address
1149 W 13Th St Jacksonville FL 32209-5610
Phone: (770) 778-1938
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL4863 Florida

Profile Details

NPI number 1922545227
LBN Legal business name Bracken, Lacey Dennis
Credentials MS,LAT,ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2017
Last updated Apr 17th, 2020 - about 4 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.

Request for update

Popular Providers