George M Lacy

NPI #1699375071 in Reynoldsburg, Ohio

Provider Information

NPI Number: 1699375071
Entity Type: Individual
Name: George M Lacy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Oct 27, 2020
Last Updated: Oct 27, 2020

Practice Location

Address: 6412 LANERCOST RD
City: Reynoldsburg
State: Ohio
ZIP Code: 43068-3516
Phone: (614) 402-6986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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