Lacy, Gregory Lamont
Lacy, Gregory Lamont is an individual health care provider with primary practice located at 800 Howard Ave , New Haven CT 06519-1369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lacy, Gregory Lamont can be contacted via phone (203) 785-2815.Contact Information
Primary practice address
800 Howard Ave
New Haven CT 06519-1369
Phone: (203) 785-2815
Fax: (203) 785-4043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 15489R | Louisiana |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 71573 | Connecticut |
Profile Details
| NPI number | 1073564829 |
|---|---|
| LBN Legal business name | Lacy, Gregory Lamont |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Jul 5th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073564829 | NPPES |
| Louisiana | MEDICAID | 2336495 |
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