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Contact Information

LACEY M SELLATI, RN, LICAC, PA-C
626 MAIN ST
BOLTON, MA01740-3302
 Phone: 978-610-6247
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Integrative Medicine

202D00000X
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Registered Nurse

163W00000X
Indicates primary specialty

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

NPI Number 1730327354
Status Active
Credentials RN, LICAC, PA-C
Entity Individual
Enumeration date 02/04/2009
Last updated 07/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 239503
  • MA License # 269439
  • MA License # PA5404
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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