Pappan, Lacey

Pappan, Lacey is an individual health care provider with primary practice located at 1355 W Rogers Blvd 10, Skiatook OK 74070-4204. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Pappan, Lacey can be contacted via phone (918) 333-5100.

Contact Information

Primary practice address
1355 W Rogers Blvd 10 Skiatook OK 74070-4204
Phone: (918) 333-5100
Fax: (918) 333-5102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4494 Oklahoma

Profile Details

NPI number 1215368261
LBN Legal business name Pappan, Lacey
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2013
Last updated Apr 2nd, 2014 - about 10 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 1215368261 NPPES
Oklahoma MEDICAID 200522010

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