Funair, Lacey

Funair, Lacey is an individual health care provider with primary practice located at 405 Hazel St , Zelienople PA 16063-1016. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Health Educator, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Funair, Lacey can be contacted via phone (724) 900-9075.

Contact Information

Primary practice address
405 Hazel St Zelienople PA 16063-1016
Phone: (724) 900-9075
Fax: (724) 382-7709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X CBDCE22200462
Other Service Providers / Specialist 174400000X BCADM200914796
Other Service Providers / Health Educator 174H00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN005678 Pennsylvania

Profile Details

NPI number 1811664915
LBN Legal business name Funair, Lacey
Credentials MS,RDN,CDCES,BC-ADM
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2021
Last updated Jun 19th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811664915 NPPES
Pennsylvania MEDICAID 1039464260002

Popular Providers