Lacy, Katie Ann

Lacy, Katie Ann is an individual health care provider with primary practice located at 6565 Perimeter Dr , Dublin OH 43016-8461. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lacy, Katie Ann can be contacted via phone (614) 328-9927.

Contact Information

Primary practice address
6565 Perimeter Dr Dublin OH 43016-8461
Phone: (614) 328-9927
Fax: (614) 389-3727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F07181075 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X CNP.023491 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRNCNP023491 Ohio

Profile Details

NPI number 1710469986
LBN Legal business name Lacy, Katie Ann
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2018
Last updated Sep 21st, 2022 - 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 1710469986 NPPES
Ohio Other APRNCNP023491 OHIO LICENSE

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