Lacey, Julian K

Lacey, Julian K is an individual health care provider with primary practice located at 1835 N Corporate Lakes Blvd , Weston FL 33326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lacey, Julian K can be contacted via phone (954) 389-7000.

Contact Information

Primary practice address
1835 N Corporate Lakes Blvd Weston FL 33326
Fax: (954) 389-8726
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L6092 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME135120 Florida

Profile Details

NPI number 1740239102
LBN Legal business name Lacey, Julian K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740239102 NPPES
Florida MEDICAID 024344500
Florida MEDICAID 1598435-01
Florida Other 8G0556

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