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Organization
CHEST MEDICINE ASSOCIATES P.S.C.
Active
Organization
CHEST MEDICINE ASSOCIATES P.S.C.
Active
Other names
Sleep Medicine Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM O. LACY M.D. (PRESIDENT)
(502) 455-0269
Entity
Organization
Contact information
Practice address
4606 GREENWOOD RD, LOUISVILLE, KY 40258-3726
(502) 937-2209
(502) 933-8714
Mailing address
3430 NEWBURG RD, SUITE 150, LOUISVILLE, KY 40218-2497
(502) 238-3178
(502) 238-3653
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052030
PASSPORT
KY
05
—
65934184
—
KY
Enumeration date
11/08/2006
Last updated
09/23/2016
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