Burleson, Lacie

Burleson, Lacie is an individual health care provider with primary practice located at 4129 N Armenia Ave , Tampa FL 33607-6436. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Burleson, Lacie can be contacted via phone (813) 879-3699.

Contact Information

Primary practice address
4129 N Armenia Ave Tampa FL 33607-6436
Fax: (813) 873-8469
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X ARNP9278784 Florida

Profile Details

NPI number 1912365016
LBN Legal business name Burleson, Lacie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2016
Last updated Feb 3rd, 2016 - about 9 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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