Lacy, Joseph R.

Lacy, Joseph R. is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-3505. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Lacy, Joseph R. can be contacted via phone (715) 387-5511.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449-3505
Phone: (715) 387-5511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 113499-030 Wisconsin

Profile Details

NPI number 1598740599
LBN Legal business name Lacy, Joseph R.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jul 27th, 2023 - about 2 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 1598740599 NPPES
Other 044383 CRNA RECERTIFICATION CARD
MEDICAID 43333400 CRNA RECERTIFICATION CARD
Other 430061296 CRNA RECERTIFICATION CARD

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