Lacek, Melissa

Lacek, Melissa is an sole proprietor health care provider with primary practice located at 11272 N 186Th Ct , Surprise AZ 85388-1209. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Lacek, Melissa can be contacted via phone (602) 791-8900.

Contact Information

Primary practice address
11272 N 186Th Ct Surprise AZ 85388-1209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H5236 Arizona
Other Service Providers / Specialist 174400000X H5236 Arizona

Profile Details

NPI number 1366188153
LBN Legal business name Lacek, Melissa
Credentials RDH, OMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2022
Last updated May 5th, 2022 - about 2 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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