Individual
JAMES RANDALL LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.R.T.
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
(608) 372-1184
Mailing address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
(608) 372-1184
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
21833
CA
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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