Lacz, Corey Justin

Lacz, Corey Justin is an sole proprietor health care provider with primary practice located at 62 Alumni Dr , Castleton VT 05735-4454. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Lacz, Corey Justin can be contacted via phone (802) 779-6666.

Contact Information

Primary practice address
62 Alumni Dr Castleton VT 05735-4454
Phone: (802) 779-6666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1679221782
LBN Legal business name Lacz, Corey Justin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2022
Last updated Oct 31st, 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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