DR. THOMAS A. LACY MD NPI 1376561985

NPI Information

NPI: 1376561985
Provider Name: DR. THOMAS A. LACY, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
11715 ORPINGTON STREET, SUITE A
TLC PEDIATRICS AND ADOLESCENT MEDICINE IN ASSOC WITH NE
ORLANDO, FL
ZIP 32817
Phone: (407) 380-9115
Get Directions

DR. Thomas A. Lacy, MD is a general practice in Orlando, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Thomas A. Lacy, MD NPI is 1376561985. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11715 ORPINGTON STREET, SUITE A
TLC PEDIATRICS AND ADOLESCENT MEDICINE IN ASSOC WITH NE
ORLANDO, FL
ZIP 32817-600
Phone: (407) 380-9115
Fax: (407) 380-9189

The NPI 1376561985 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 12/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		ME58227	FLORIDA	No
2	208D00000X	General Practice		ME58227	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1103520	OTHER	FLORIDA	UNITED HEALTHCARE
2	4828516	OTHER	FLORIDA	CIGNA HEALTHCARE
3	270015	OTHER	FLORIDA	AMERIGROUP
4	257675	OTHER	FLORIDA	USA MANAGED CARE NETWORK
5	4006175	OTHER	FLORIDA	AETNA HEALTHCARE
6	FAO23	OTHER	FLORIDA	FHHS
7	11452	OTHER	FLORIDA	BCBS
8	063917600	MEDICAID	FLORIDA
9	C79108	MEDICARE UPIN	FLORIDA
10	201529976	OTHER	FLORIDA	BEECHSTREET

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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