Lacey, Sean Robert

Lacey, Sean Robert is an individual health care provider with primary practice located at 3131 College Heights Blvd Suite 1200, Allentown PA 18104-4812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Lacey, Sean Robert can be contacted via phone (610) 439-8551.

Contact Information

Primary practice address
3131 College Heights Blvd Suite 1200 Allentown PA 18104-4812
Phone: (610) 439-8551
Fax: (610) 439-1435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD425436 Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD425436 Pennsylvania

Profile Details

NPI number 1841282241
LBN Legal business name Lacey, Sean Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Sep 18th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841282241 NPPES
Pennsylvania MEDICAID 1012091670001

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