Lacey, Tyler
Lacey, Tyler is an sole proprietor health care provider with primary practice located at 111 W Vernon Ave , Fergus Falls MN 56537-2741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lacey, Tyler can be contacted via phone (218) 739-2221.Contact Information
Primary practice address
111 W Vernon Ave
Fergus Falls MN 56537-2741
Phone: (218) 739-2221
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 64592 | Minnesota |
Profile Details
| NPI number | 1255866877 |
|---|---|
| LBN Legal business name | Lacey, Tyler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2017 |
| Last updated | Jul 2nd, 2024 - about 5 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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