Mr Ryan Dexter Lacy, is a
Case Manager/care Coordinator based in Oakland, California. Mr Ryan Dexter Lacy is licensed to practice in * (Not Available) (license number ) and his current practice location is
390 40th St, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(510) 613-0330.
NPI number for Mr Ryan Dexter Lacy is 1861960023 and his current mailing address is 390 40th St, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861960023.
Healthcare Provider's Profile
| Full Name | Mr Ryan Dexter Lacy |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 390 40th St, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861960023
- Provider Enumeration Date: 11/06/2018
- Last Update Date: 03/08/2024
Medical Identifiers
Medical identifiers for Mr Ryan Dexter Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861960023 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ryan Dexter Lacy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Ryan Dexter Lacy, 390 40th St, Oakland, CA 94609-2633 Ph: (510) 613-0330 | Mr Ryan Dexter Lacy, 390 40th St, Oakland, CA 94609-2633 Ph: (510) 613-0330 |
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