Individual
DR. ELIZABETH M LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., DPT, OCS
Contact information
Practice address
1185 W CARMEL DR BLDG C, CARMEL, IN 46032-8708
(317) 582-8924
Mailing address
1185 W CARMEL DR BLDG C, CARMEL, IN 46032-8708
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
05007206A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183172
ANTHEM ID
IN
05
—
200318740
—
IN
Enumeration date
03/02/2006
Last updated
11/14/2016
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