Lacy, Clifton R.

Lacy, Clifton R. is an individual health care provider with primary practice located at 125 Paterson St Suite 5200, New Brunswick NJ 08901-1962. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lacy, Clifton R. can be contacted via phone (732) 235-8966.

Contact Information

Primary practice address
125 Paterson St Suite 5200 New Brunswick NJ 08901-1962
Phone: (732) 235-8966
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA04066100 New Jersey

Profile Details

NPI number 1952511875
LBN Legal business name Lacy, Clifton R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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 1952511875 NPPES
New Jersey MEDICAID 1912003

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