San Pedro, Eleanor Lacsa

San Pedro, Eleanor Lacsa is an individual health care provider with primary practice located at 7691 Poplar Ave , Germantown TN 38138-3904. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / General Practice, Nursing Service Providers / Medical-Surgical. Nursing Service Providers / Critical Care Medicine is her primary health care specialty. San Pedro, Eleanor Lacsa can be contacted via phone (901) 516-6386.

Contact Information

Primary practice address
7691 Poplar Ave Germantown TN 38138-3904
Phone: (901) 516-6386
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0000294113 Tennessee
Nursing Service Providers / Critical Care Medicine 163WC0200X 894837 Mississippi
Nursing Service Providers / General Practice 163WG0000X 0000294113 Tennessee
Nursing Service Providers / Medical-Surgical 163WM0705X 0000294113 Tennessee
Nursing Service Providers / Critical Care Medicine 163WC0200X 0000294113 Tennessee

Profile Details

NPI number 1063000727
LBN Legal business name San Pedro, Eleanor Lacsa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2021
Last updated Jan 7th, 2021 - about 3 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 1063000727 NPPES
Tennessee Other 0000249113 REGISTERED NURSE
Tennessee Other 894837 REGISTERED NURSE

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