Individual
LACY SAMUEL HANDSHOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4915 NORTON HEALTHCARE BLVD STE 301, LOUISVILLE, KY 40241-2860
(502) 394-6460
(502) 394-6465
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 445-3616
(216) 636-2175
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
04950
KY
2084V0102X
Vascular Neurology Physician
Primary
04950
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2016
Last updated
06/11/2021
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