Lacy, Ellisa

Lacy, Ellisa is an individual health care provider with primary practice located at 3435 N Wolverine Dr , Wasilla AK 99654-2704. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Lacy, Ellisa can be contacted via phone (907) 631-3830.

Contact Information

Primary practice address
3435 N Wolverine Dr Wasilla AK 99654-2704
Phone: (907) 631-3830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 6962 Alaska

Profile Details

NPI number 1619319886
LBN Legal business name Lacy, Ellisa
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2013
Last updated Jul 29th, 2013 - about 11 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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