Lacey, Lanise Cooper

Lacey, Lanise Cooper is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Lacey, Lanise Cooper can be contacted via phone (601) 925-6805.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 925-6805
Fax: (601) 926-4978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R864303 Mississippi

Profile Details

NPI number 1982833091
LBN Legal business name Lacey, Lanise Cooper
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2009
Last updated Oct 11th, 2012 - about 12 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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