Malkishuana M Lacy


Address: 4444 W Jefferson Blvd, Suite 614, Dallas, TX 75211-4611

Malkishuana M Lacy (NPI# 1396917514, PAC ID# 3274704143) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.

Physician Overview

Nation Provider ID (NPI) 1396917514
PAC ID by PECOS 3274704143
Professional Enrollment ID I20110926000559
Full Name Malkishuana M Lacy
Address 4444 W Jefferson Blvd
Suite 614
Dallas
TX 75211-4611
Gender M
Medical School UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduation Year 2008
Primary Specialty OPTOMETRY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4444 W Jefferson Blvd, Suite 614, Dallas, TX 75211-4611

Organization Information

Office Location

Street Address 4444 W JEFFERSON BLVD
SUITE 614
City DALLAS
State TX
Zip 75211-4611

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Competitor

Search similar physicians

City DALLAS
Zip Code 75211
Specialty OPTOMETRY
City + Specialty DALLAS + OPTOMETRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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