Lacy, Ama Lindiwe
Lacy, Ama Lindiwe is an sole proprietor health care provider with primary practice located at 13380 Goldenhorn Dr , Corona CA 92883-6653. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Lacy, Ama Lindiwe can be contacted via phone (951) 310-3075.Contact Information
Primary practice address
13380 Goldenhorn Dr
Corona CA 92883-6653
Phone: (951) 310-3075
Fax: (951) 602-6666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A63380 | California |
Profile Details
| NPI number | 1831274075 |
|---|---|
| LBN Legal business name | Lacy, Ama Lindiwe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Feb 25th, 2019 - about 5 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 | 1831274075 | NPPES |
| Other | 11652968 | CAQH | |
| MEDICAID | A66380 | CAQH |
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