THOMAS ROYCE LACY

SAN DIEGO, CA
NPI1295554368
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2024-10-07
Last Update Date2024-10-07
Business Address
THOMAS ROYCE LACY IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 858-987-2619
Mailing Address
THOMAS ROYCE LACY IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number:
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