Brantner, Lacey
Brantner, Lacey is an individual health care provider with primary practice located at 11102 Sunrise Blvd E Ste 104 , Puyallup WA 98374-8846. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Brantner, Lacey can be contacted via phone (253) 848-8797.Contact Information
Primary practice address
11102 Sunrise Blvd E Ste 104
Puyallup WA 98374-8846
Phone: (253) 848-8797
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP61358655 | Washington |
Profile Details
| NPI number | 1912629601 |
|---|---|
| LBN Legal business name | Brantner, Lacey |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2022 |
| Last updated | Sep 19th, 2022 - about 3 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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