Kenneth Lacy

NPI 1235986340 · on the registry since 2024 · sole proprietor

Practice

Address: 2717 W Cypress Creek Rd
Fort Lauderdale, FL 33309
Phone: (954) 683-3463
Organisation at this address: Rembrandt Mobile Diagnostics Inc
Rembrandt Mobile Diagnostics Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida