Lacey Medical Clinic PS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LACEY MEDICAL CLINIC PS

Practice address

5602 Ruddell Rd SE
Lacey, WA 98503

Phone

(360) 438-0394

Fax

(360) 493-0824

NPI assigned

Sep 7, 2006

Last updated

Jun 23, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ronald Charles Krauss, MDNPI 1235105719

Title

President

Phone

(360) 438-0394

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Charles Krauss, MD

  • Family Medicine Physician
  • Lacey, WA
  • NPI 1235105719
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1558464974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 RUDDELL RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98503",
            "telephone_number": "360-438-0394",
            "fax_number": "360-493-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 RUDDELL RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98503",
            "telephone_number": "360-438-0394",
            "fax_number": "360-493-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEY MEDICAL CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "KRAUSS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-438-0394",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7069750",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America
• Laboratory Corporation of America
• Neil Lacanlale
• Lacey Accident & Injury Rehabilitation LLC
• Lacey Dental, LLC (Comfort Dental Lacey)
• Lacey Nursing Center, Inc. (Roo-Lan Healthcare Center)
• Lacey SNF Operations LLC (Lacey Post Acute & Rehabilitation)
• Lacey Square Pharmacy Inc (Ready Meds Pharmacy)
• Kailee Lackey, RN
• Edward Gregory Laclergue, MD

• Family Medicine Physician in Lacey, WA
• Providers in Lacey, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.