Kumar, Lacey Jean

Kumar, Lacey Jean is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-3522. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kumar, Lacey Jean can be contacted via phone (608) 263-6400.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-3522
Phone: (608) 263-6400
Fax: (608) 262-6743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6084-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 6084 Wisconsin

Profile Details

NPI number 1396142253
LBN Legal business name Kumar, Lacey Jean
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2014
Last updated Oct 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396142253 NPPES
Wisconsin MEDICAID 1396142253

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