Myers, Lacey Jo

Myers, Lacey Jo is an individual health care provider with primary practice located at 1325 Ne 31St St , Ankeny IA 50021-6695. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Myers, Lacey Jo can be contacted via phone (515) 279-1959.

Contact Information

Primary practice address
1325 Ne 31St St Ankeny IA 50021-6695
Phone: (515) 279-1959
Fax: (515) 289-0888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A128569 Iowa

Profile Details

NPI number 1821461344
LBN Legal business name Myers, Lacey Jo
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated Jul 11th, 2016 - about 9 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 1821461344 NPPES
Iowa Other I43700006 MEDICARE PTAN MMP
Iowa Other IB3557001 MEDICARE PTAN MMP

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