Lackey, Elizabeth Jane
Lackey, Elizabeth Jane is an sole proprietor health care provider with primary practice located at 1400 Tullie Rd Ne , Atlanta GA 30329-2309. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lackey, Elizabeth Jane can be contacted via phone (404) 785-2897.Contact Information
Primary practice address
1400 Tullie Rd Ne
Atlanta GA 30329-2309
Phone: (404) 785-2897
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN100203 | Georgia |
Profile Details
| NPI number | 1023280591 |
|---|---|
| LBN Legal business name | Lackey, Elizabeth Jane |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2008 |
| Last updated | May 18th, 2020 - about 5 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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