Lacey, Susan Gene

Lacey, Susan Gene is an individual health care provider with primary practice located at 1905 W 32Nd Street Suite 306, Joplin MO 64804-1512. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lacey, Susan Gene can be contacted via phone (417) 624-2111.

Contact Information

Primary practice address
1905 W 32Nd Street Suite 306 Joplin MO 64804-1512
Phone: (417) 624-2111
Fax: (417) 624-1551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 129117 Missouri

Profile Details

NPI number 1871693853
LBN Legal business name Lacey, Susan Gene
Credentials RNC MSN WHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Feb 17th, 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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