Lacy, Edward D
Lacy, Edward D is an individual health care provider with primary practice located at 8220 Sw Warm Springs St Suite 200, Tualatin OR 97062-9338. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lacy, Edward D can be contacted via phone (503) 692-0337.Contact Information
Primary practice address
8220 Sw Warm Springs St Suite 200
Tualatin OR 97062-9338
Phone: (503) 692-0337
Fax: (503) 692-0792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D4844 | Oregon |
Profile Details
| NPI number | 1104076926 |
|---|---|
| LBN Legal business name | Lacy, Edward D |
| Credentials | D.M.D., P.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2008 |
| Last updated | Sep 29th, 2008 - about 17 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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