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1275780934
TIMOTHY JEROME LACY
COLUMBIA, MD
NPI
1275780934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MD D0047144)
Enumeration Date
2008-08-25
Last Update Date
2018-05-23
Business Address
Dr. TIMOTHY JEROME LACY M.D.
10630 LITTLE PATUXENT PKWY STE 209
COLUMBIA, MD 21044
Phone number: 410-740-8067
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Mailing Address
Dr. TIMOTHY JEROME LACY M.D.
2916 PARKER AVE
SILVER SPRING, MD 20902-2660
Phone number: 301-512-9726
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