Individual
DR. JOHN THOMAS LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6220 FM 2920 RD APT 831, SPRING, TX 77379-3591
(817) 917-1191
Mailing address
6220 FM 2920 RD APT 831, SPRING, TX 77379-3591
(817) 917-1191
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37615
TX
103T00000X
Psychologist
5068-57
WI
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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