Fleek, Lacey Marie

Fleek, Lacey Marie is an individual health care provider with primary practice located at 2213 Cherry St , Toledo OH 43608-2603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Fleek, Lacey Marie can be contacted via phone (419) 251-3704.

Contact Information

Primary practice address
2213 Cherry St Toledo OH 43608-2603
Phone: (419) 251-3704
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X RN.447766 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X APRN.CNP.0030035 Ohio

Profile Details

NPI number 1841864329
LBN Legal business name Fleek, Lacey Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2021
Last updated Mar 11th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841864329 NPPES
Ohio MEDICAID 0465701

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