Individual provider · Type 1 NPI

Jesse M. Lacy, DC

Chiropractor · Palm Bay, FL

NPI number 1619038775 Active

Practice location

1900 Palm Bay Road Northeast, Suite C
Palm Bay, FL 32905-2955

Mailing address

586 Parker Road
West Melbourne, FL 32904-7422

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH0005634 (FL)
Chiropractor 111N00000XCHIR004995 (GA)
Chiropractor 111N00000X1523 (AL)
Chiropractor 111N00000XDC0000001066 (TN)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1619038775

Jesse M. Lacy, DC's National Provider Identifier is 1619038775, issued on Dec 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Palm Bay, FL. The record was last updated on Jul 8, 2007.