1841802691 NPI number — DR. ALICE MERCEDES COLON-LACEY PH.D, LBS

Table of content: DR. ALICE MERCEDES COLON-LACEY PH.D, LBS (NPI 1841802691)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841802691 NPI number — DR. ALICE MERCEDES COLON-LACEY PH.D, LBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COLON-LACEY
Provider First Name:
ALICE
Provider Middle Name:
MERCEDES
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D, LBS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841802691
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/21/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
109 PHILIP DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEAR
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19701-1888
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-280-6620
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
833 E BUTLER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DOYLESTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18901-2280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-340-1500
Provider Business Practice Location Address Fax Number:
215-345-3529
Provider Enumeration Date:
08/21/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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