Lacey, Joshua R

Lacey, Joshua R is an individual health care provider with primary practice located at 3400 Union Ave , Sheboygan WI 53081-8426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Lacey, Joshua R can be contacted via phone (920) 802-2100.

Contact Information

Primary practice address
3400 Union Ave Sheboygan WI 53081-8426
Phone: (920) 802-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 57693 Wisconsin
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 57693-20 Wisconsin

Profile Details

NPI number 1407134620
LBN Legal business name Lacey, Joshua R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2011
Last updated Jul 15th, 2024 - about 4 months 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 1407134620 NPPES
Wisconsin MEDICAID 100031907

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