Lacy, Jill

Lacy, Jill is an individual health care provider with primary practice located at 800 Howard Ave Yale Physicians Bldg-2Nd Floor, New Haven CT 06519-1369. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Lacy, Jill can be contacted via phone (203) 737-1600.

Contact Information

Primary practice address
800 Howard Ave Yale Physicians Bldg-2Nd Floor New Haven CT 06519-1369
Phone: (203) 737-1600
Fax: (203) 737-2617
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 022937 Connecticut

Profile Details

NPI number 1053392951
LBN Legal business name Lacy, Jill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Aug 20th, 2008 - about 16 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 1053392951 NPPES
Connecticut MEDICAID 001229376

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