DR. GREGORY LAMONT LACY II (NPI# 1073564829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073564829 |
| Entity Type | Individual |
| Full Name | DR. GREGORY LAMONT LACY II |
| Credential | M.D. |
| Practice Address |
1990 Industrial Blvd Houma LA 70363-7055 |
| Practice Telephone | 9858689300 |
| Practice Fax Number | 9858510053 |
| Mailing Telephone | 9858689300 |
| Mailing Fax Number | 9858510053 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2014-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 15489R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2336495 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639246887 | Gregory Alan Lacy | Dentist | 918 Chestnut Ridge Rd, Suite 5, Morgantown, WV 26505-2822 | 2006-11-30 |
| Street Address |
1990 INDUSTRIAL BLVD |
| City | HOUMA |
| State | LA |
| Zip Code | 70363-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183401 | Shaminder Mohan Gupta | Internal Medicine | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2005-06-09 |
| 1528620564 | Paige M Robichaux | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2019-06-30 |
| 1871079822 | Amanda Graham Lucas | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2018-07-12 |
| 1104312560 | Nina Claire Broussard | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2018-07-09 |
| 1972024099 | Britney Haydel | Physician Assistant | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2017-06-28 |
| 1881145258 | Corey Dupre | Physician Assistant | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-10-20 |
| 1609228477 | Matthew Phillip James | Physician Assistant | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-07-05 |
| 1801240726 | Stephen Kyle Jones | Anesthesiology | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-04-17 |
| 1164889382 | Brandi Lecompte | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-01-19 |
| 1952778623 | Amber Wooldridge Sevin | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2015-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286991 | Nadish Ravindran | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Internal Medicine Program, Chabert Medical Center, Houma, LA 70363 | 2020-05-08 |
| 1912527185 | Gurjit Singh Brar | Student in an Organized Health Care Education/Training Program | Chabert Medical Center 1978 Industrial Blvd, Internal Medicine Residency Program, Houma, LA 70363 | 2020-04-17 |
| 1912568718 | Blake P Pitre | Pharmacist | 13087 West Main St, Larose, LA 70363 | 2019-06-24 |
| 1528623212 | Navkiran Singh Jagdev | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2019-05-08 |
| 1376107367 | Sheahahn Vikash Soundranayagam | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program Chabert Medical, Center, 1978 Industrial Blvd, Hourna, LA 70363 | 2019-04-25 |
| 1962991034 | Naveen Silva | Student in an Organized Health Care Education/Training Program | 1976 Industrial Blvd, Internal Medicine Residency Program Chabert Medical Cen, Houma, LA 70363 | 2018-05-04 |
| 1841647526 | Ammad Asad Syed | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd., Internal Medicine Residency Program, Chabert Medical Ce, Houma, LA 70363 | 2016-05-23 |
| 1538514450 | Khizran Rizvi | Internal Medicine | 1978 Industrial Blvd. Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2016-04-28 |
| 1649656836 | David Price | Pharmacist | 9303 East Parke Avenue, Houma, LA 70363 | 2015-08-11 |
| 1346638053 | Donna Marie Neville | Case Manager/Care Coordinator | 137 New Orleans Blvd, Houma, LA 70363 | 2015-01-05 |
| Find all providers in zip 70363 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396761755 | Urology Health Center LLC | Urology | 1281 W Tunnel Blvd, Houma, LA 70360-2794 | 2006-07-15 |
| 1982620373 | Ramarao Machari Denduluri | Urology | 1281 W Tunnel Blvd, Houma, LA 70360-2794 | 2006-07-15 |
| 1033140850 | Howard Woo | Urology | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030005 | Red Envelope Apmc | Urology | 15770 Paul Vega Dr Ste 200, Hammond, LA 70403-1475 | 2020-07-07 |
| 1225670961 | Rajendran Ambiavagar | Urology | 4209 Wakefield Blvd, Alexandria, LA 71303-2958 | 2019-10-15 |
| 1205208402 | Raymond Wendell Turner | Urology | 9854 Jennifer Ln, Shreveport, LA 71106-7716 | 2015-10-27 |
| 1326483678 | Tonye A Jones Jr. | Urology | 105 Medical Center Dr Ste 202, Slidell, LA 70461-5538 | 2013-04-30 |
| 1174966600 | Matthew Donald Strain | Urology | 1111 Medical Center Blvd Ste 650, Marrero, LA 70072 | 2013-04-15 |
| 1619232774 | Jay Heintz M.d. A Professional Medical LLC | Urology | 15770 Paul Vega Dr, Suite 200, Hammond, LA 70403-1475 | 2012-07-05 |
| 1336436252 | Omer Raheem | Urology | 3525 Prytania St Ste 614, New Orleans, LA 70115 | 2011-06-29 |
| 1861794745 | John Richard Enright | Urology | 4080 Locke Ln, Lake Charles, LA 70605-2258 | 2010-11-26 |
| 1164730917 | Jed Robinson | Urology | 2106 Loop Rd Ste B, Winnsboro, LA 71295-3343 | 2010-09-15 |
| 1508181421 | Alvin Simon Merlin | Urology | 4525 Hessmer Ave, Metairie, LA 70002-1525 | 2010-04-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.