Individual
DR. THOMAS A. LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11715 ORPINGTON STREET, SUITE A, TLC PEDIATRICS AND ADOLESCENT MEDICINE IN ASSOC WITH NE, ORLANDO, FL 32817-4600
(407) 380-9115
(407) 380-9189
Mailing address
P.O. BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-4488
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME58227
FL
208D00000X
General Practice Physician
Primary
ME58227
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063917600
—
FL
01
—
1103520
UNITED HEALTHCARE
FL
01
—
11452
BCBS
FL
01
—
201529976
BEECHSTREET
FL
01
—
257675
USA MANAGED CARE NETWORK
FL
01
—
270015
AMERIGROUP
FL
01
—
4006175
AETNA HEALTHCARE
FL
01
—
4828516
CIGNA HEALTHCARE
FL
01
—
FAO23
FHHS
FL
Enumeration date
07/18/2006
Last updated
12/07/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us