| Rachel Lacy, Psy.d., P.c. | |
|
1805 Herrington Rd Bldg 3-b Lawrenceville GA 30043-7987 | |
| (770) 722-7827 | |
| (770) 760-0624 |
| Full Name | Rachel Lacy, Psy.d., P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1805 Herrington Rd Bldg 3-b, Lawrenceville, Georgia |
| Authorized Official Name and Position | Rachel Kelli Lacy (PRESIDENT, LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7707227827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Lacy, Psy.d., P.c. Po Box 58 Flowery Branch GA 30542-0001 Ph: (770) 722-7827 | Rachel Lacy, Psy.d., P.c. 1805 Herrington Rd Bldg 3-b Lawrenceville GA 30043-7987 Ph: (770) 722-7827 |
| NPI Number | 1912115114 |
|---|---|
| Provider Enumeration Date | 05/19/2007 |
| Last Update Date | 10/29/2018 |
| Medicare PECOS PAC ID | 9537109897 |
|---|---|
| Medicare Enrollment ID | O20050505000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912115114 | NPI | - | NPPES |
| Provider Name | Rachel Kelli Lacy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760690960 PECOS PAC ID: 1254371511 Enrollment ID: I20050506000006 |
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