Crabb, Lacey L

Crabb, Lacey L is an individual health care provider with primary practice located at 1414 W Fair Ave Suite 342, Marquette MI 49855-2675. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Crabb, Lacey L can be contacted via phone (906) 225-3870.

Contact Information

Primary practice address
1414 W Fair Ave Suite 342 Marquette MI 49855-2675
Phone: (906) 225-3870
Fax: (906) 225-3975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704244170 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4704244170 Michigan

Profile Details

NPI number 1437306321
LBN Legal business name Crabb, Lacey L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2008
Last updated Jun 9th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437306321 NPPES
Michigan Other 5008707680 BLUE CROSS BLUE SHIELD
Michigan Other 0870768 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 1437306321 BLUE CROSS BLUE SHIELD

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