Brisbon, Lacie
Brisbon, Lacie is an sole proprietor health care provider with primary practice located at 13166 Odyssey Lake Way , Orlando FL 32826-4642. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Brisbon, Lacie can be contacted via phone (407) 455-8258.Contact Information
Primary practice address
13166 Odyssey Lake Way
Orlando FL 32826-4642
Phone: (407) 455-8258
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | 11585 | Florida |
Profile Details
| NPI number | 1982292173 |
|---|---|
| LBN Legal business name | Brisbon, Lacie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2021 |
| Last updated | Jan 4th, 2021 - 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.
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