Cooper, Lacey Lee

Cooper, Lacey Lee is an individual health care provider with primary practice located at 3189 Maple Dr Ne , Atlanta GA 30305-2501. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Cooper, Lacey Lee can be contacted via phone (770) 998-3838.

Contact Information

Primary practice address
3189 Maple Dr Ne Atlanta GA 30305-2501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1073134276
LBN Legal business name Cooper, Lacey Lee
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2020
Last updated Apr 29th, 2020 - about 5 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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