Individual
SEAN PAUL LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2790 CLAY EDWARDS DR STE 520, NORTH KANSAS CITY, MO 64116-3274
(816) 221-6750
(816) 221-7280
Mailing address
3901 RAINBOW BLVD # MS 2027, KANSAS CITY, KS 66160-8500
(913) 588-3974
(913) 588-6055
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2025022428
MO
Other
Enumeration date
03/31/2019
Last updated
07/22/2025
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