Carroll, Michaela Lane

Carroll, Michaela Lane is an individual health care provider with primary practice located at 860 Lynn St , Lebanon MO 65536-3810. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Carroll, Michaela Lane can be contacted via phone (888) 403-1071.

Contact Information

Primary practice address
860 Lynn St Lebanon MO 65536-3810
Phone: (888) 403-1071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2014015461 Missouri

Profile Details

NPI number 1720129067
LBN Legal business name Carroll, Michaela Lane
Credentials PLPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Sep 25th, 2018 - about 6 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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