Mojarro, Lacey Lynn
Mojarro, Lacey Lynn is an individual health care provider with primary practice located at 11635 South St , Artesia CA 90701-6628. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Mojarro, Lacey Lynn can be contacted via phone (310) 820-9933.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 89030 | California |
Profile Details
| NPI number | 1619440328 |
|---|---|
| LBN Legal business name | Mojarro, Lacey Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2019 |
| Last updated | Jan 4th, 2019 - about 6 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 | 1619440328 | NPPES |
| California | Other | 89030 | DENTAL |
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