Lacksen, Felicia S
Lacksen, Felicia S is an individual health care provider with primary practice located at 1351 Stonebridge Pkwy Bldg 105, Watkinsville GA 30677-6037. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Lacksen, Felicia S can be contacted via phone (706) 769-3331.Contact Information
Primary practice address
1351 Stonebridge Pkwy Bldg 105
Watkinsville GA 30677-6037
Phone: (706) 769-3331
Fax: (706) 769-3360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 047612 | Georgia |
Profile Details
| NPI number | 1285693911 |
|---|---|
| LBN Legal business name | Lacksen, Felicia S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jun 13th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285693911 | NPPES |
| Georgia | MEDICAID | 00857007A |
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