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
Phone: (954) 389-7000
Fax: (954) 389-8726
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740239102 | NPPES |
| Florida | MEDICAID | 024344500 | |
| Florida | MEDICAID | 1598435-01 | |
| Florida | Other | 8G0556 |
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