Hamilton, Lacey

Hamilton, Lacey is an individual health care provider with primary practice located at 416 W Camp St , Lebanon IN 46052-1799. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hamilton, Lacey can be contacted via phone (765) 742-1567.

Contact Information

Primary practice address
416 W Camp St Lebanon IN 46052-1799
Phone: (765) 742-1567
Fax: (465) 483-4495
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28168869A Indiana

Profile Details

NPI number 1912258302
LBN Legal business name Hamilton, Lacey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2012
Last updated Oct 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912258302 NPPES
Indiana MEDICAID 201119670

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