Stephanie Regan Lacey
DO | Pediatric Cardiology | Female
Stephanie Regan Lacey, DO is a Jacksonville, Florida based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Stephanie Regan Lacey is
841 Prudential Dr, Ufjp Pediatric Cardiology, Jacksonville, Florida - 32207-8329. She can be contacted on phone at
904-493-1610 and fax number 904-493-2363.
Stephanie Regan Lacey is a sole proprietor of her business.
NPI number (Unique professional ID) for Stephanie Regan Lacey is
1992741342 which was assigned by NPPES on 22 Jun, 2006 and it was last updated on 23 Apr, 2010.
Stephanie Regan Lacey license number is
OS9818 for Pediatrics Pediatric Cardiology (2080P0202X) in Florida.
Stephanie Regan Lacey provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Stephanie Regan Lacey basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Stephanie Regan Lacey |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Stephanie Regan Lacey address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 841 Prudential Dr, Ufjp Pediatric Cardiology
Jacksonville, FL, 32207-8329
United States |
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| Phone Number : | 904-493-1610 |
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| Fax Number : | 904-493-2363 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1992741342 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Jun, 2006 |
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| Last Updated On : | 23 Apr, 2010 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephanie Regan Lacey are as mentioned. Primary taxonomy code for Stephanie Regan Lacey, DO is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | OS9818 | FL |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | OS9818 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Stephanie Regan Lacey such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 109704014A | MEDICAID | GA | |
| 275986100 | MEDICAID | FL | |
| 2759861-00 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 44008, Ufjp Provider Enrollment
Jacksonville, FL, 32231-4008
United States |
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Business Location:
Patients can refer following map for directions to
Stephanie Regan Lacey practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.