Mcnett, Lacey

Mcnett, Lacey is an individual health care provider with primary practice located at 415 Fairview Ave St 100, Ponca City OK 74601-1929. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mcnett, Lacey can be contacted via phone (580) 765-5569.

Contact Information

Primary practice address
415 Fairview Ave St 100 Ponca City OK 74601-1929
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R0080721 Oklahoma

Profile Details

NPI number 1841671906
LBN Legal business name Mcnett, Lacey
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2015
Last updated Aug 20th, 2020 - about 5 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 1841671906 NPPES
Oklahoma MEDICAID 200595970A

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