Mcclain, Lacy C

Mcclain, Lacy C is an individual health care provider with primary practice located at 1011 S 34Th Ave , Hattiesburg MS 39402-3002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mcclain, Lacy C can be contacted via phone (601) 261-5163.

Contact Information

Primary practice address
1011 S 34Th Ave Hattiesburg MS 39402-3002
Phone: (601) 261-5163
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 17269 Mississippi

Profile Details

NPI number 1427163724
LBN Legal business name Mcclain, Lacy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Apr 13th, 2022 - about 3 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 1427163724 NPPES
Mississippi MEDICAID 00124167
Mississippi Other 1559343

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