Glick, Lacie Elizabeth Wilson

Glick, Lacie Elizabeth Wilson is an individual health care provider with primary practice located at 3147 Sw 45Th St Ste 40 , Gainesville FL 32608-2399. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Glick, Lacie Elizabeth Wilson can be contacted via phone (352) 389-4386.

Contact Information

Primary practice address
3147 Sw 45Th St Ste 40 Gainesville FL 32608-2399
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 24315 Florida

Profile Details

NPI number 1053024604
LBN Legal business name Glick, Lacie Elizabeth Wilson
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2022
Last updated Dec 28th, 2022 - about 3 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.

Request for update

Popular Providers