NPI 1083033195 MRS. LACIE DILLON PA-C SPARTA TN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Lacie Dillon - NPI: 1083033195

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. LACIE DILLON
NPI Number: 1083033195
Entity Type Code: Individual (1)
Gender: F
Credentials: PA-C
License Number: 2514
Business Practice Address: 439 Sewell Dr
Sparta, TN - 385831223
Business Phone Number: 9318370837
Business Fax Number: 9318370838
Mailing Address: 421 Sewell Dr,
SPARTA
State: TN
Postal Code: 385831223
Phone Number: 9317384395
Fax Number: 9317384330
NPI Enumeration Date: 04/16/2014
NPI Last Update Date: 10/09/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363AM0700X
License Number: 2514
Healthcare Provider Taxonomy:
(Secondary)
Y
State: TN
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Physician Assistant
Taxonomy Specialization: Medical
Taxonomy Definition:


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