Search › Oregon › 101YM0800X
Jerry Lacy
NPI 1841826310 · on the registry since 2020
Practice
- Address
- 1885 Thompson Rd
Coos Bay, OR 97420 - Phone
- (541) 266-8480
- Fax
- (541) 266-8479
- Organisation at this address
- Columbiacare Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 43
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2020-03-17
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 Oregon