Jesse M. Lacy, DC

Chiropractor · Palm Bay, FL

Individual Active NPI

NPI number 1619038775

Practice location

1900 Palm Bay Road Northeast
Suite C
Palm Bay, FL 32905-2955
Phone
(321) 726-0168

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NPI record

NPI
1619038775
Entity type
Individual (Type 1)
Enumeration date
December 13, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CH0005634 FL
Chiropractor 111N00000X CHIR004995 GA
Chiropractor 111N00000X 1523 AL
Chiropractor 111N00000X DC0000001066 TN

Mailing address

586 Parker Road
West Melbourne, FL 32904-7422
Phone
(321) 726-0168

About Dr. Lacy

Jesse M. Lacy, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1900 Palm Bay Road Northeast, Suite C, Palm Bay, FL 32905-2955. The NPI number 1619038775 was assigned on December 13, 2006 and the record was last updated on July 8, 2007.

Dr. Lacy lists 4 licenses in the registry: #CH0005634 (FL) for Chiropractor; #CHIR004995 (GA) for Chiropractor; #1523 (AL) for Chiropractor; #DC0000001066 (TN) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jesse M. Lacy, DC?

The NPI number is 1619038775.

What is the phone number of Dr. Lacy?

The phone number listed for the practice location is (321) 726-0168.

Where is Dr. Lacy located?

1900 Palm Bay Road Northeast, Suite C, Palm Bay, FL 32905-2955.

What is the taxonomy code for Dr. Lacy?

The primary taxonomy code is 111N00000X – Chiropractor; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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