Pulley, Lacey Nicole

Pulley, Lacey Nicole is an individual health care provider with primary practice located at 2705 N Lebanon St Ste 265 , Lebanon IN 46052-8621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Pulley, Lacey Nicole can be contacted via phone (765) 485-8830.

Contact Information

Primary practice address
2705 N Lebanon St Ste 265 Lebanon IN 46052-8621
Phone: (765) 485-8830
Fax: (765) 485-8839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 10002070A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10002070A Indiana

Profile Details

NPI number 1780126920
LBN Legal business name Pulley, Lacey Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2016
Last updated Oct 18th, 2023 - about 2 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 1780126920 NPPES
Indiana MEDICAID 300018306

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