Lacy, Cheryl Marie
Lacy, Cheryl Marie is an individual health care provider with primary practice located at 279 Summit Dr , Waterford MI 48328-3364. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lacy, Cheryl Marie can be contacted via phone (734) 998-7606.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704203745 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4704203745 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 4704203745 | Michigan |
Profile Details
NPI number | 1992816797 |
---|---|
LBN Legal business name | Lacy, Cheryl Marie |
Credentials | A.P.R.N., B.C. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Apr 10th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992816797 | NPPES |
Michigan | MEDICAID | 4824971 |
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