Lacy, William Owen

Lacy, William Owen is an individual health care provider with primary practice located at 4606 Greenwood Rd , Louisville KY 40258. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Lacy, William Owen can be contacted via phone (502) 937-2209.

Contact Information

Primary practice address
4606 Greenwood Rd Louisville KY 40258
Phone: (502) 937-2209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28706 Kentucky
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 28706 Kentucky
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 28706 Kentucky

Profile Details

NPI number 1558457796
LBN Legal business name Lacy, William Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Apr 24th, 2024 - about last year

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 1558457796 NPPES
Indiana Other 200003570 INDIANA MEDICAID
Indiana MEDICAID 64287063 INDIANA MEDICAID

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