Lacroix, Diane

Lacroix, Diane is an individual health care provider with primary practice located at 1 Genesys Pkwy , Grand Blanc MI 48439-8065. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lacroix, Diane can be contacted via phone (810) 606-6137.

Contact Information

Primary practice address
1 Genesys Pkwy Grand Blanc MI 48439-8065
Phone: (810) 606-6137
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95024219 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704172544 Michigan

Profile Details

NPI number 1336122399
LBN Legal business name Lacroix, Diane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Aug 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336122399 NPPES
Michigan MEDICAID 4653168
Michigan MEDICAID 4653177
Michigan Other P00157330
Michigan MEDICAID 4653159
Michigan Other DL172544

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