| Lacy Medical Group Inc | |
|
405 Slide Rd Ste 111-115 Lubbock TX 79416-4356 | |
| (806) 281-2178 | |
| Not Available |
| Full Name | Lacy Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 405 Slide Rd, Lubbock, Texas |
| Authorized Official Name and Position | Frederick R Onger (CEO) |
| Authorized Official Contact | 8062812178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacy Medical Group Inc 405 Slide Rd Ste 111-115 Lubbock TX 79416-4356 Ph: () - | Lacy Medical Group Inc 405 Slide Rd Ste 111-115 Lubbock TX 79416-4356 Ph: (806) 281-2178 |
| NPI Number | 1528204385 |
|---|---|
| Provider Enumeration Date | 12/29/2008 |
| Last Update Date | 12/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528204385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K4760 (Texas) | Primary |
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