Individual
DR. GREGORY LAMONT LACY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 785-2815
(203) 785-4043
Mailing address
1990 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 868-9300
(985) 851-0053
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
15489R
LA
208800000X
Urology Physician
Primary
71573
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2336495
—
LA
Enumeration date
05/15/2006
Last updated
07/05/2022
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