MR. MD Jerome P. Lacy, NPI 1649225020
Cardiovascular Disease Physician in Louisville, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1649225020
NPI Entity Type Individual
Provider Name MR. MD Jerome P. Lacy
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 6420 Dutchmans Pkwy, Suite 200, Louisville, KY, US
Provider Mailing Address Po Box 950232, Louisville, KY, US, 402950232
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RC0000X

Taxonomy Name Cardiovascular Disease Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 15898
License State KY
Description An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

MR. MD Jerome P. Lacy
6420 Dutchmans Pkwy
Suite 200

Louisville, KY, US

Phone: 502-891-8300
Fax: 502-891-8338

Mailing Address

MR. MD Jerome P. Lacy
Po Box 950232
Louisville, KY, US
ZIP 402950232
Phone: 502-891-8300
Fax: 502-891-8338

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
100388580A IN MEDICAID 05
50032166 KY PASSPORT- CTS 01
000000044915 KY ANTHEM PIN 01
100388580F IN MEDICAID 05
1056116 KY PASSPORT 01
2433840000 KY PASSPORT ADVANTAGE PIN 01
64158983 KY MEDICAID 05
4012633 KY AETNA- CTS 01

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DO John M Fleming

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