Richardson, Lacey
Richardson, Lacey is an individual health care provider with primary practice located at 3326 4Th St Ste 1 , Lewiston ID 83501-4455. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Richardson, Lacey can be contacted via phone (208) 746-2646.Contact Information
Primary practice address
3326 4Th St Ste 1
Lewiston ID 83501-4455
Phone: (208) 746-2646
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH-3647-RST | Idaho |
Profile Details
| NPI number | 1700468824 |
|---|---|
| LBN Legal business name | Richardson, Lacey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2021 |
| Last updated | Apr 27th, 2021 - 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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