Pridemore, Lacy Renee
Pridemore, Lacy Renee is an individual health care provider with primary practice located at 321 Van Houten Ave , El Cajon CA 92020-5128. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Pridemore, Lacy Renee can be contacted via phone (619) 383-0704.Contact Information
Primary practice address
321 Van Houten Ave
El Cajon CA 92020-5128
Phone: (619) 383-0704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1952931701 |
|---|---|
| LBN Legal business name | Pridemore, Lacy Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2020 |
| Last updated | Jan 21st, 2020 - about 4 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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