Ireland, Lacy Georgette

Ireland, Lacy Georgette is an individual health care provider with primary practice located at 1000 N Broadway , Peru IN 46970-1070. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ireland, Lacy Georgette can be contacted via phone (765) 472-5335.

Contact Information

Primary practice address
1000 N Broadway Peru IN 46970-1070
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28188363A Indiana

Profile Details

NPI number 1689145211
LBN Legal business name Ireland, Lacy Georgette
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2018
Last updated Dec 7th, 2018 - about 6 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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