Mrs. Lacey Lee Cooper
Dental Hygienist
3189 Maple Dr Ne
Atlanta
, Georgia 30305-2501
Mrs. Lacey Lee Cooper
Dental Hygienist
3189 Maple Dr Ne
Atlanta
, Georgia 30305-2501
(509) 301-2081
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Mrs. Lacey Lee Cooper
- 713 Woodbridge Dr
- Woodstock, GA
- Zip : 30188-7146
- Phone : (509) 301-2081
Second Address
- Mrs. Lacey Lee Cooper
- 3189 Maple Dr Ne
- Atlanta, GA
- Zip : 30305-2501
- Phone : (770) 998-3838
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist |
National Provider Identifier
| NPI | 1073134276 |
|---|---|
| Provider Name | Mrs. Lacey Lee Cooper |
| First Address | Woodstock, GA 30188-7146 |
| Second Address | Atlanta, GA 30305-2501 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/04/2020 |
| Last Update Date | 29/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.