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NPI Code Detail

MEDICARE: DR. LACEY MAYS D.C

MEDICARE: DR. LACEY MAYS D.C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2025000540MO

General Provider Information

NPI Number : 1255143954
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LACEY MAYS D.C
Provider Business Mailing Address
First Line : 2409 HYDE PARK RD
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65109-4732
Country : US
Telephone Number : 573-635-6217
Fax Number :
Provider Business Practice Location Address
First Line : 2409 HYDE PARK RD
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65109-4732
Country : US
Telephone Number : 573-635-6217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2025
Last Update Date : 01/21/2025

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Directions to “ DR. LACEY MAYS D.C” Practice Location

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