DR. Edward D Lacy, D.M.D., P.C.

NPI #1104076926 in Tualatin, Oregon

Provider Information

NPI Number: 1104076926
Entity Type: Individual
Name: DR. Edward D Lacy, D.M.D., P.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D., P.C.
Enumeration Date: Sep 29, 2008
Last Updated: Sep 29, 2008

Practice Location

Address: 8220 SW WARM SPRINGS ST
Address 2: SUITE 200
City: Tualatin
State: Oregon
ZIP Code: 97062-9338
Phone: (503) 692-0337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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