ONTARIO DEPREE LACEY

SAN DIEGO, CA
NPI1053799437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2015-05-18
Last Update Date2015-05-18
Business Address
Dr. ONTARIO DEPREE LACEY M.D.
34800 BOB WILSON DR
SAN DIEGO, CA 92134-3300
Phone number: 619-532-9795
Mailing Address
Dr. ONTARIO DEPREE LACEY M.D.
612 ARTISAN RD
THOUSAND OAKS, CA 91320-5702
Phone number: 805-953-5993
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