Buckhannon, Lacey Deyanne

Buckhannon, Lacey Deyanne is an individual health care provider with primary practice located at 1509 S Neil St , Champaign IL 61820-6580. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Buckhannon, Lacey Deyanne can be contacted via phone (217) 351-1516.

Contact Information

Primary practice address
1509 S Neil St Champaign IL 61820-6580
Phone: (217) 351-1516
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 049137234 Illinois

Profile Details

NPI number 1336846351
LBN Legal business name Buckhannon, Lacey Deyanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2023
Last updated Feb 9th, 2023 - about last year

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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