Lackner, Constance Sue
Lackner, Constance Sue is an individual health care provider with primary practice located at 109 W Watauga Ave , Johnson City TN 37604-5621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lackner, Constance Sue can be contacted via phone (423) 232-2600.Contact Information
Primary practice address
109 W Watauga Ave
Johnson City TN 37604-5621
Phone: (423) 232-2600
Fax: (423) 467-3644
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APN07278 | Tennessee |
Profile Details
NPI number | 1922068022 |
---|---|
LBN Legal business name | Lackner, Constance Sue |
Credentials | MSN APRN BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Apr 4th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922068022 | NPPES |
Tennessee | Other | 3143910 | BLUE CROSS BLUE SHIELD |
Tennessee | MEDICAID | 3345085 | BLUE CROSS BLUE SHIELD |
Tennessee | Other | 890000552 | BLUE CROSS BLUE SHIELD |
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