Miller, Lacy Henry
Miller, Lacy Henry is an individual health care provider with primary practice located at 284 Executive Park Dr , Concord NC 28025-1831. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Miller, Lacy Henry can be contacted via phone (704) 939-1100.Contact Information
Primary practice address
284 Executive Park Dr
Concord NC 28025-1831
Phone: (704) 939-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 201376 | North Carolina |
Profile Details
| NPI number | 1326030792 |
|---|---|
| LBN Legal business name | Miller, Lacy Henry |
| Credentials | DNP, PMHNP-BC, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Nov 27th, 2023 - about last year |
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 | 1326030792 | NPPES |
| North Carolina | MEDICAID | 6005036 | |
| North Carolina | Other | 2632201 |
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