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Individual

DR. JOHN MCPHERSON LACY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1700 UPS DR, SUITE 208, LOUISVILLE, KY 40223-4046
(502) 412-9197
(502) 412-8701
Mailing address
1700 UPS DR, SUITE 208, LOUISVILLE, KY 40223-4046
(502) 412-9197
(502) 412-8701

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0738
KY

Other

Enumeration date
05/30/2008
Last updated
05/30/2008
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