Timothy Jerome Lacy, M.D. Valid NPI
Individual provider · Psychiatry Physician · Columbia, MD
- NPI
- 1275780934
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatry Physician (Psychiatry & Neurology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2084P0800X
- License number
- D0047144 (MD)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2008-08-25
- Last updated
- 2018-05-23
Practice location
10630 Little Patuxent Pkwy Ste 209
Columbia, MD 21044
(410) 740-8067