Wilson, Lacy W

Wilson, Lacy W is an individual health care provider with primary practice located at 1815 Haynes St , Clarksville TN 37043-4548. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Wilson, Lacy W can be contacted via phone (931) 553-6959.

Contact Information

Primary practice address
1815 Haynes St Clarksville TN 37043-4548
Phone: (931) 553-6959
Fax: (931) 553-8659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 3095 Tennessee

Profile Details

NPI number 1144567108
LBN Legal business name Wilson, Lacy W
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2013
Last updated Jan 10th, 2013 - about 12 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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