Gregory Lamont Lacy II M.D.

NPI 1073564829 - Urology - 208800000X

NPI Details
NPI 1073564829
Gender Male
Enumeration Date 05/15/2006
Last Updated 09/08/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1990 INDUSTRIAL BLVD
HOUMA LA, 70363-7055, US
Phone (985) 868-9300
Fax (985) 851-0053
Business Location
1990 INDUSTRIAL BLVD
HOUMA LA, 70363-7055, US
Phone (985) 868-9300
Fax (985) 851-0053
Toxanomy
Taxonomy Code 208800000X
License State Louisiana
License Number 15489R
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According to our database, Dr. Gregory Lamont Lacy II M.D. NPI is 1073564829, taxonomy code is 208800000X and license number is 15489R, license state is located at Louisiana. Gregory Lamont Lacy II M.D. physically located at 1990 Industrial Blvd, Houma LA, 70363-7055. NPI Number Gregory Lamont Lacy II M.D. has the Individual type.

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1073564829 NPI number is provided on an as is basis without warranty of any kind. 1073564829 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Lamont Lacy II M.D. are for informational purposes only.