Rust, Lacey D

Rust, Lacey D is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Rust, Lacey D can be contacted via phone (701) 234-6669.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Phone: (701) 234-6669
Fax: (701) 234-7451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 964 North Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 103538 Minnesota

Profile Details

NPI number 1447653910
LBN Legal business name Rust, Lacey D
Credentials MS OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2014
Last updated Sep 29th, 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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