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Contact Information

PATRICIA E LACY, PA
100 KELLIE DR
SMITHFIELD, NC27577-9444
 Phone: 919-934-1094
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PATRICIA E LACY · (Female)

NPI # 1841453925
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/08/2008
Last updated 09/08/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085-003725
  • NC License # 0010-12561
  • SC License # 2107
  • VA License # 0110005367
  • NC Other 0010-12561 MEDICAL LICENSE
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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