Phillips, Lacy Rae

Phillips, Lacy Rae is an individual health care provider with primary practice located at 4102 Woolworth Ave , Omaha NE 68105-1851. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Phillips, Lacy Rae can be contacted via phone (402) 444-7000.

Contact Information

Primary practice address
4102 Woolworth Ave Omaha NE 68105-1851
Phone: (402) 444-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 1106 Nebraska

Profile Details

NPI number 1487214391
LBN Legal business name Phillips, Lacy Rae
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2019
Last updated Jun 13th, 2019 - 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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