Search › California › 207QS0010X
Lacy Knowles, D.O
NPI 1952660599 · on the registry since 2012 · sole proprietor
Practice
- Address
- 6801 Park Ter Ste 130
Los Angeles, CA 90045 - Phone
- (310) 248-7878
- Fax
- (310) 248-7850
- Organisation at this address
- Kerlan Jobe
Ketamine Clinics Llc
Steven M. Back Md Apc
Ronald S Kvitne Md Inc
Shore Mds Medical CorpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 99
Additional practice sites
- 3801 North Blvd, Baton Rouge, LA
- 6801 Park Ter Ste 130, Los Angeles, CA
Registry record
- Primary taxonomy
- 207QS0010X
207QS0010X
- Also registered as
- 207QA0505X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-09
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