Individual provider · Type 1 NPI
Jesse Lynn Lacy
Student in an Organized Health Care Education/Training Program · Bridgeton, NJ
NPI number
1629673116
Active
Practice location
335 Alloway Friesburg Rd
Bridgeton, NJ 08302-5527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1629673116
Jesse Lynn Lacy's National Provider Identifier is 1629673116, issued on Dec 2, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgeton, NJ. The record was last updated on Dec 2, 2020.