Search › California › 363AM0700X
Jon Lacy, PA
NPI 1588907638 · on the registry since 2013
Practice
- Address
- 6368 Hollywood Blvd
Los Angeles, CA 90028 - Phone
- (323) 469-5555
- Fax
- (323) 466-0405
- Organisation at this address
- Astral Pharmacy Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-21
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 California