Carls, Lacey Marie

Carls, Lacey Marie is an individual health care provider with primary practice located at 1306 Gemini Cir Ste 2 , Ottawa IL 61350. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Carls, Lacey Marie can be contacted via phone (815) 433-0850.

Contact Information

Primary practice address
1306 Gemini Cir Ste 2 Ottawa IL 61350
Phone: (815) 433-0850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085003635 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.003635 Illinois

Profile Details

NPI number 1114252087
LBN Legal business name Carls, Lacey Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2009
Last updated Jun 23rd, 2023 - about 2 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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