Ontario Depree Lacey M.D.

NPI 1053799437 - Military Health Care Provider - 171000000X

NPI Details
NPI 1053799437
Gender Male
Enumeration Date 05/18/2015
Last Updated 05/18/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
34800 BOB WILSON DR
SAN DIEGO CA, 92134-3300, US
Phone (619) 532-9795
Fax
Business Location
612 ARTISAN RD
THOUSAND OAKS CA, 91320-5702, US
Phone (805) 953-5993
Fax
Toxanomy
Taxonomy Code 171000000X
License State
License Number
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According to our database, Dr. Ontario Depree Lacey M.D. NPI is 1053799437, taxonomy code is 171000000X Ontario Depree Lacey M.D. physically located at 34800 Bob Wilson Dr, San Diego CA, 92134-3300. NPI Number Ontario Depree Lacey M.D. has the Individual type.

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1053799437 NPI number is provided on an as is basis without warranty of any kind. 1053799437 is maintained by the National Plan & Provider Enumeration System. The contents of Ontario Depree Lacey M.D. are for informational purposes only.