St. Clair, Lacey Brianne

St. Clair, Lacey Brianne is an individual health care provider with primary practice located at 402 W Jefferson St , Kirksville MO 63501-3407. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. St. Clair, Lacey Brianne can be contacted via phone (660) 665-2741.

Contact Information

Primary practice address
402 W Jefferson St Kirksville MO 63501-3407
Fax: (660) 665-3109
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2008020510 Missouri

Profile Details

NPI number 1962703462
LBN Legal business name St. Clair, Lacey Brianne
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2010
Last updated Oct 12th, 2012 - about 13 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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