Lacross, Heather L

Lacross, Heather L is an individual health care provider with primary practice located at 7544 Jacque Rd , Hudson FL 34667-7162. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Lacross, Heather L can be contacted via phone (727) 697-2200.

Contact Information

Primary practice address
7544 Jacque Rd Hudson FL 34667-7162
Phone: (727) 697-2200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 3086652 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP3086652 Florida

Profile Details

NPI number 1285639021
LBN Legal business name Lacross, Heather L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 8th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285639021 NPPES
Florida MEDICAID 304367300
Florida Other Y0E26

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