Lacey, Paul Anthony
Lacey, Paul Anthony is an individual health care provider with primary practice located at 17 S Western Ave , Tonasket WA 98855-9270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lacey, Paul Anthony can be contacted via phone (509) 486-2174.Contact Information
Primary practice address
17 S Western Ave
Tonasket WA 98855-9270
Phone: (509) 486-2174
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MR-0981 | Idaho |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD60222862 | Washington |
Profile Details
| NPI number | 1275793804 |
|---|---|
| LBN Legal business name | Lacey, Paul Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2008 |
| Last updated | Jun 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275793804 | NPPES |
| Washington | Other | 0284414 | L&I |
| Washington | Other | MR-0981 | L&I |
| Washington | MEDICAID | 1275793804 | L&I |
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