Gardner, Lacey
Gardner, Lacey is an individual health care provider with primary practice located at 865 Deshong Dr , Paris TX 75460-9313. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gardner, Lacey can be contacted via phone (903) 785-4521.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA11191 | Texas |
Profile Details
| NPI number | 1790226504 |
|---|---|
| LBN Legal business name | Gardner, Lacey |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2017 |
| Last updated | Jul 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790226504 | NPPES |
| Texas | MEDICAID | 0000000 |
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