SearchGeorgia101YP2500X

Wilfred Lacey

NPI 1295270957 · on the registry since 2017 · sole proprietor

Practice

Address
2821 Us Hwy 19
Box 440
Meansville, GA 30256
Phone
(770) 567-8987
Fax
(770) 567-3359
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-04

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 Georgia