MARK LACY MD NPI 1679515605

NPI Information

NPI: 1679515605
Provider Name: MARK LACY, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
2000 E GREENVILLE ST
SUITE 4500
ANDERSON, SC
ZIP 29621
Phone: (864) 512-4500
Get Directions

Mark Lacy, MD is an obstetrics gynecology in Anderson, SC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Mark Lacy, MD NPI is 1679515605. 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:

2000 E GREENVILLE ST
SUITE 4500
ANDERSON, SC
ZIP 29621-580
Phone: (864) 512-4500
Fax: (864) 512-4505

The enumeration date for this NPI number is 6/12/2006 and was last updated on 4/28/2010.

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	207V00000X	Obstetrics & Gynecology		10326	SOUTH CAROLINA	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
1	7111	MEDICARE PIN	SOUTH CAROLINA
2	C60452	MEDICARE UPIN
3	103266	MEDICAID	SOUTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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