Lacy, Christopher J.

Lacy, Christopher J. is an individual health care provider with primary practice located at 146 Sw Orthopedic Ct , Lake City FL 32024-0672. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Lacy, Christopher J. can be contacted via phone (386) 719-5100.

Contact Information

Primary practice address
146 Sw Orthopedic Ct Lake City FL 32024-0672
Phone: (386) 719-5100
Fax: (386) 719-5101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA 21841 Florida

Profile Details

NPI number 1609109446
LBN Legal business name Lacy, Christopher J.
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2009
Last updated Feb 19th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609109446 NPPES
Florida Other PTA 21841 PTA LICENSE

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