Lackie, Davon

Lackie, Davon is an individual health care provider with primary practice located at 103 Woodlane Dr , Searcy AR 72143-6113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Lackie, Davon can be contacted via phone (501) 268-3733.

Contact Information

Primary practice address
103 Woodlane Dr Searcy AR 72143-6113
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X A004220 Arkansas

Profile Details

NPI number 1063803567
LBN Legal business name Lackie, Davon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2015
Last updated Oct 6th, 2021 - about 4 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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