Lacy, Dee Anne

Lacy, Dee Anne is an individual health care provider with primary practice located at 7300 N Fresno St , Fresno CA 93720-2941. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Lacy, Dee Anne can be contacted via phone (559) 448-4500.

Contact Information

Primary practice address
7300 N Fresno St Fresno CA 93720-2941
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G78873 California

Profile Details

NPI number 1053499897
LBN Legal business name Lacy, Dee Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 13th, 2021 - about 4 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 1053499897 NPPES
California MEDICAID 00G788730

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