Lacy, Robert T.

Lacy, Robert T. is an sole proprietor health care provider with primary practice located at 696 Main Street , So. Weymouth MA 02190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lacy, Robert T. can be contacted via phone (781) 331-3300.

Contact Information

Primary practice address
696 Main Street So. Weymouth MA 02190
Fax: (781) 337-8356
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 32765 Massachusetts

Profile Details

NPI number 1235128414
LBN Legal business name Lacy, Robert T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Apr 8th, 2014 - about 10 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 1235128414 NPPES
Massachusetts Other 032765 TUFTS
Massachusetts MEDICAID 110035543A TUFTS
Massachusetts Other 15069 TUFTS

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