Individual provider · Type 1 NPI

Thomas A. Lacy, MD

General Practice Physician · Orlando, FL

NPI number 1376561985 Active

Practice location

11715 Orpington Street, Suite A, Tlc Pediatrics And Adolescent Medicine In Assoc With NE
Orlando, FL 32817-4600

Call (407) 380-9115 Map

Fax (407) 380-9189

Mailing address

P.o. Box 191, Provider Enrollment Department
Rockland, DE 19732-0191

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XME58227 (FL)
General Practice Physician Primary 208D00000XME58227 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1376561985

Thomas A. Lacy, MD's National Provider Identifier is 1376561985, issued on Jul 18, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Orlando, FL. The record was last updated on Dec 7, 2012.