Lacourse, Lacey J
Lacourse, Lacey J is an individual health care provider with primary practice located at 50 Montcalm St , Ticonderoga NY 12883-1393. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Administrator, Nursing Service Providers / Gerontology, Nursing Service Providers / Hospice, Nursing Service Providers / Addiction (Substance Use Disorder). Nursing Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Lacourse, Lacey J can be contacted via phone (518) 585-7934.Contact Information
Primary practice address
50 Montcalm St
Ticonderoga NY 12883-1393
Phone: (518) 585-7934
Fax: (518) 585-9132
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Administrator | 163WA2000X | 589509 | New York |
Nursing Service Providers / Gerontology | 163WG0600X | 589509 | New York |
Nursing Service Providers / Hospice | 163WH1000X | 589509 | New York |
Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 589509 | New York |
Profile Details
NPI number | 1881433225 |
---|---|
LBN Legal business name | Lacourse, Lacey J |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2024 |
Last updated | May 24th, 2024 - 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.
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