Lacy, Marlene Annette
Lacy, Marlene Annette is an individual health care provider with primary practice located at 1525 W Frye Rd , Chandler AZ 85224-6178. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Lacy, Marlene Annette can be contacted via phone (480) 812-7000.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 0491 | Arizona |
Profile Details
NPI number | 1396870564 |
---|---|
LBN Legal business name | Lacy, Marlene Annette |
Credentials | OTR-L |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2007 |
Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396870564 | NPPES |
Arizona | MEDICAID | 549438 |
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