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Organization

LACY MEDICAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA ROCHE (OFFICE MANAGER)
(404) 363-6460
Entity
Organization

Contact information

Practice address
5499 JONESBORO RD, LAKE CITY, GA 30260-3553
(404) 363-6460
(404) 363-4348
Mailing address
5499 JONESBORO RD, LAKE CITY, GA 30260-3553
(404) 363-6460
(404) 363-4348

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
09/09/2009
Last updated
09/22/2010
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