Lacson, Marilene Gopez

Lacson, Marilene Gopez is an sole proprietor health care provider with primary practice located at 38 Roller Ln , Palm Coast FL 32164-8939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lacson, Marilene Gopez can be contacted via phone (386) 503-9731.

Contact Information

Primary practice address
38 Roller Ln Palm Coast FL 32164-8939
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9270072 Florida

Profile Details

NPI number 1326335779
LBN Legal business name Lacson, Marilene Gopez
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2011
Last updated Aug 7th, 2014 - about 10 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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