Crissup, Lacy Nicole
Crissup, Lacy Nicole is an individual health care provider with primary practice located at 212 E Blue Starr Dr , Claremore OK 74017-4223. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Crissup, Lacy Nicole can be contacted via phone (918) 341-8211.Contact Information
Primary practice address
212 E Blue Starr Dr
Claremore OK 74017-4223
Phone: (918) 341-8211
Fax: (918) 341-8233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2600 | Oklahoma |
Profile Details
| NPI number | 1851521819 |
|---|---|
| LBN Legal business name | Crissup, Lacy Nicole |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2009 |
| Last updated | Jul 23rd, 2009 - about 15 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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