Maul, Lacey Diane

Maul, Lacey Diane is an sole proprietor health care provider with primary practice located at 1907 W Sycamore St , Kokomo IN 46901-5148. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Maul, Lacey Diane can be contacted via phone (765) 456-5433.

Contact Information

Primary practice address
1907 W Sycamore St Kokomo IN 46901-5148
Phone: (765) 456-5433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X F06170594 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X E08170009 Indiana

Profile Details

NPI number 1851816656
LBN Legal business name Maul, Lacey Diane
Credentials ENP, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2017
Last updated Sep 10th, 2017 - about 7 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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