Individual
DR. JULIAN K LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1835 N CORPORATE LAKES BLVD, WESTON, FL 33326
(954) 389-7000
(954) 389-8726
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 967-6400
(954) 965-7339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L6092
TX
208000000X
Pediatrics Physician
Primary
ME135120
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024344500
—
FL
05
—
1598435-01
—
TX
01
—
8G0556
BCBS
TX
Enumeration date
05/10/2006
Last updated
07/17/2018
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