JOHN MATTHEW LACY

SEATTLE, WA
NPI1811143365
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WA  MD00040446)
Additional Taxonomies207ZF0201X Pathology, Forensic Pathology
(Licence: WA  MD00040446)
Enumeration Date2008-08-15
Last Update Date2010-11-01
Business Address
-- JOHN MATTHEW LACY md
325 9TH AVE
SEATTLE, WA 98104-2420
Phone number: 206-680-1851
Mailing Address
-- JOHN MATTHEW LACY md
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-680-1851