| NPI | 1508431693 |
|---|---|
| Doing Business As | LACEY FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | NAYEON KIM Owner/Manager 253-332-0892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-07-15 |