Active NPI
Robert Lacy, DO
- General Practice Physician
- East Lansing, MI
National Provider Identifier
1144489659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5101015868
- Practice address
- 3496 E Lake Lansing Rd
East Lansing, MI 48823-2288 - Phone
- (517) 333-0968
- NPI assigned
- Jun 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5101015868 | MI | Primary |
Addresses
Primary practice location
3496 E Lake Lansing Rd
East Lansing, MI 48823-2288
Mailing address
3496 E Lake Lansing Rd
East Lansing, MI 48823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015868 | MI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1144489659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3496 E LAKE LANSING RD",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "48823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3496 E LAKE LANSING RD",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488232288",
"telephone_number": "517-333-0968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY",
"first_name": "ROBERT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-09",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "5101015868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.