Organization
CHEST MEDICINE ASSOCIATES P.S.C.
Active
Other names
Sleep Medicine Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM O. LACY M.D. (PRESIDENT)
(502) 455-0269
Entity
Organization
Contact information
Practice address
4606 GREENWOOD RD, LOUISVILLE, KY 40258-3726
(502) 937-2209
(502) 933-8714
Mailing address
3430 NEWBURG RD, SUITE 150, LOUISVILLE, KY 40218-2497
(502) 238-3178
(502) 238-3653
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052030
PASSPORT
KY
05
—
65934184
—
KY
Enumeration date
11/08/2006
Last updated
09/23/2016
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