Lacey Medical Clinic Ps
NPI #1558464974 in Lacey, Washington
Provider Information
- NPI Number
- 1558464974
- Entity Type
- Organization
- Organization Name
- Lacey Medical Clinic Ps
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 7, 2006
- Last Updated
- Jun 23, 2014
Practice Location
- Address
- 5602 RUDDELL RD SE
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503
- Phone
- (360) 438-0394
Authorized Official
- Name
- MR. RONALD CHARLES KRAUSS, MD
- Title
- PRESIDENT
- Phone
- (360) 438-0394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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