Lacy Medical Services LLC

NPI #1952634909 in Lake City, Georgia

Provider Information

NPI Number: 1952634909
Entity Type: Organization
Organization Name: Lacy Medical Services LLC
Primary Specialty: Specialist
Enumeration Date: Sep 9, 2009
Last Updated: Sep 22, 2010

Practice Location

Address: 5499 JONESBORO RD
City: Lake City
State: Georgia
ZIP Code: 30260-3553
Phone: (404) 363-6460

Authorized Official

Name: MS. LISA ROCHE
Title: OFFICE MANAGER
Phone: (404) 363-6460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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