Active NPI
Lacy Williams, LLC
- Clinic/Center
- Marquette, MI
National Provider Identifier
1306555693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.