Lacy, Elizabeth A

Lacy, Elizabeth A is an individual health care provider with primary practice located at 400 W 16Th St , Pueblo CO 81003-2781. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Lacy, Elizabeth A can be contacted via phone (719) 584-4306.

Contact Information

Primary practice address
400 W 16Th St Pueblo CO 81003-2781
Phone: (719) 584-4306
Fax: (719) 595-7886
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 200300169 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20A13779 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0060926 Colorado

Profile Details

NPI number 1134170772
LBN Legal business name Lacy, Elizabeth A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Nov 7th, 2018 - about 6 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 1134170772 NPPES
North Carolina Other 135YN BSNC
North Carolina MEDICAID 89135YN BSNC

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