Lacy, John

Lacy, John is an individual health care provider with primary practice located at 24451 Health Center Dr , Laguna Hills CA 92653-3689. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Lacy, John can be contacted via phone (949) 452-3050.

Contact Information

Primary practice address
24451 Health Center Dr Laguna Hills CA 92653-3689
Phone: (949) 452-3050
Fax: (949) 452-3066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G79003 California

Profile Details

NPI number 1093758708
LBN Legal business name Lacy, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Dec 14th, 2021 - about 4 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 1093758708 NPPES
California MEDICAID 00G790030

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