Knight, Lacy A

Knight, Lacy A is an individual health care provider with primary practice located at 660 N Westmoreland Rd , Lake Forest IL 60045-1659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Knight, Lacy A can be contacted via phone (847) 535-6150.

Contact Information

Primary practice address
660 N Westmoreland Rd Lake Forest IL 60045-1659
Phone: (847) 535-6150
Fax: (847) 535-7801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 36107997 Illinois
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036107997 Illinois

Profile Details

NPI number 1487630448
LBN Legal business name Knight, Lacy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Mar 12th, 2014 - about 11 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 1487630448 NPPES
Illinois MEDICAID 36107997

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