Organization Active NPI

Lacy Williams, LLC

  • Clinic/Center
  • Marquette, MI
National Provider Identifier
1306555693
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LACY WILLIAMS, LLC
Practice address
545 County Road HQ
Marquette, MI 49855-8855
Phone
(906) 273-0072
NPI assigned
Nov 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lacy Williams, FNP-BC
Title
Owner/Organizer
Phone
(906) 362-3701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

545 County Road HQ
Marquette, MI 49855-8855

Mailing address

124 Wintergreen TRL
Marquette, MI 49855-9072
Phone (906) 362-3701

National Provider Directory

National Provider Directory

Locations

545 County Road HQ
#P
Marquette, MI 49855
Phone (906) 273-0072

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1306555693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WINTERGREEN TRL",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559072",
            "telephone_number": "906-362-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 COUNTY ROAD HQ",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558855",
            "telephone_number": "906-273-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACY WILLIAMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LACY",
        "authorized_official_title_or_position": "OWNER/ORGANIZER",
        "authorized_official_telephone_number": "906-362-3701",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.