Lacey, Aquarius M

Lacey, Aquarius M is an sole proprietor health care provider with primary practice located at 39104 Prairie South Dr , Gonzales LA 70737-9510. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Providers / Home Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Lacey, Aquarius M can be contacted via phone (225) 400-1376.

Contact Information

Primary practice address
39104 Prairie South Dr Gonzales LA 70737-9510
Phone: (225) 400-1376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 20130166 Louisiana
Nursing Service Providers / Home Health 163WH0200X 20130166 Louisiana
Nursing Service Providers / Registered Nurse 163W00000X 20130166 Louisiana

Profile Details

NPI number 1407592074
LBN Legal business name Lacey, Aquarius M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2022
Last updated May 6th, 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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