Thacker, Lauren Ann

Thacker, Lauren Ann is an individual health care provider with primary practice located at 484 Tollage Crk , Pikeville KY 41501-3305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Thacker, Lauren Ann can be contacted via phone (606) 230-2255.

Contact Information

Primary practice address
484 Tollage Crk Pikeville KY 41501-3305
Phone: (606) 230-2255
Fax: (606) 437-3001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3015422 Kentucky

Profile Details

NPI number 1134720634
LBN Legal business name Thacker, Lauren Ann
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2020
Last updated Aug 3rd, 2023 - 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 1134720634 NPPES
West Virginia MEDICAID 1134720634
West Virginia MEDICAID 7100712980
West Virginia MEDICAID 1134720634

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