# DR. THOMAS A. LACY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376561985
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | ME58227 | FL | — |
| 208D00000X | General Practice Physician | ME58227 | FL | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 12/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 063917600 | — | FL |
| 01 | — | 1103520 | UNITED HEALTHCARE | FL |
| 01 | — | 11452 | BCBS | FL |
| 01 | — | 201529976 | BEECHSTREET | FL |
| 01 | — | 257675 | USA MANAGED CARE NETWORK | FL |
| 01 | — | 270015 | AMERIGROUP | FL |
| 01 | — | 4006175 | AETNA HEALTHCARE | FL |
| 01 | — | 4828516 | CIGNA HEALTHCARE | FL |
| 01 | — | FAO23 | FHHS | FL |