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Contact Information

AQUARIUS M LACEY, RN
39104 PRAIRIE SOUTH DR
GONZALES, LA70737-9510
 Phone: 225-400-1376
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Community Health

163WC1500X
 

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for AQUARIUS M LACEY · (Female)

NPI Number 1407592074
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/06/2022
Last updated 05/06/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 20130166
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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