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Contact Information

ERIK R LACY, MD
1441 FLORIDA AVENUE
MODESTO, CA95350
 Phone: 209-576-3609
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ERIK R LACY · (Male)

NPI # 1801841077
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2006
Last updated 06/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A83901
  • TX License # M2996
  • CA Medicaid 00A839010
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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