Organization
CHEST MEDICINE ASSOCIATES P.S.C.
Active
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) 454-0269
Entity
Organization
Contact information
Practice address
3430 NEWBURG RD, SUITE 150, LOUISVILLE, KY 40218-2497
(502) 459-9127
(502) 459-2156
Mailing address
3430 NEWBURG RD, SUITE 150, LOUISVILLE, KY 40218-2497
(502) 238-3178
(502) 238-3653
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052030
PASSPORT
KY
05
—
65934184
—
KY
Enumeration date
10/26/2006
Last updated
09/23/2016
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