Jackson, Lacey
Jackson, Lacey is an sole proprietor health care provider with primary practice located at 712 Trosper Rd Sw , Tumwater WA 98512-6934. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jackson, Lacey can be contacted via phone (360) 570-2273.Contact Information
Primary practice address
712 Trosper Rd Sw
Tumwater WA 98512-6934
Phone: (360) 570-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA00013081 | Washington |
Profile Details
| NPI number | 1417096082 |
|---|---|
| LBN Legal business name | Jackson, Lacey |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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