THOMAS A. LACY

ORLANDO, FL
NPI1376561985
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: FL  ME58227)
Additional Taxonomies208000000X Pediatrics
(Licence: FL  ME58227)
Enumeration Date2006-07-18
Last Update Date2012-12-07
Business Address
Dr. THOMAS A. LACY MD
11715 ORPINGTON STREET, SUITE A TLC PEDIATRICS AND ADOLESCENT MEDICINE IN ASSOC WITH NE
ORLANDO, FL 32817-4600
Phone number: 407-380-9115
Mailing Address
Dr. THOMAS A. LACY MD
P.O. BOX 191 PROVIDER ENROLLMENT DEPARTMENT
ROCKLAND, DE 19732-0191
Phone number: 302-651-4488