Jesse M Lacy in West Melbourne - Chiropractor

Jesse M Lacy - NPI 1619038775

Jesse M Lacy is a Chiropractor in West Melbourne, Florida. Jesse M Lacy practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jesse M Lacy is 1619038775. The last update date is 2007-07-08.

Jesse M Lacy's current location address is 586 Parker Road, West Melbourne, Florida. You can contact this provider via phone number 3217260168. The mailing address for Jesse M Lacy is 586 Parker Road, West Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jesse M Lacy
Address 586 Parker Road, West Melbourne, Florida
Phone Number 3217260168
Fax Number
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1619038775
Provider Enumeration Date 2006-12-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 586 Parker Road
City West Melbourne
State Florida (FL)
Post Code 329047422
Phone Number 3217260168
Fax Number

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CH0005634
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Jesse M Lacy

What is the unique identifier code issued to Jesse M Lacy by the Centers for Medicare & Medicaid Services (CMS)?

The Jesse M Lacy has been assigned the NPI (National Provider Identifier) 1619038775. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Jesse M Lacy's physical address?

The Jesse M Lacy is physically located at 586 Parker Road, in the city of West Melbourne, FL, with the postal code 329047422.

What is Jesse M Lacy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jesse M Lacy is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

When did Jesse M Lacy receive its 1619038775 assignment?

The Jesse M Lacy was assigned its 1619038775 on 2006-12-13, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Jesse M Lacy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jesse M Lacy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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