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Contact Information

LACI R ROBERTSON
212 AIRPORT ROAD W
FORT PAYNE, AL35968
 Phone: 256-979-1250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LACI R ROBERTSON · (Female)

NPI Number 1407449721
Status Active
Credentials
Entity Individual
Enumeration date 02/17/2021
Last updated 03/05/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-132480
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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