MEDICARE: RICHARD LACY

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1871276253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD LACY

Provider Business Mailing Address
First Line	:	1209 CANFIELD AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-4308
Country	:	US
Telephone Number	:	937-301-9602
Fax Number	:

Provider Business Practice Location Address
First Line	:	1209 CANFIELD AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-4308
Country	:	US
Telephone Number	:	937-301-9602
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2023
Last Update Date	:	08/10/2023

Similar Medicare Providers

1962333492 — MAHDI BUABBAS
Practice Location Address:

425 PATTERSON RD
DAYTON, OH
45419-4308

Practice Phone: 614-816-6661
Practice Fax:

1699396556 — HABIB BUABBAS
Practice Location Address:

425 PATTERSON RD
DAYTON, OH
45419-4308

Practice Phone: 937-979-9044
Practice Fax: 937-979-9009

1073134821 — IDRIVE LLC
Practice Location Address:

425 PATTERSON RD
DAYTON, OH
45419-4308

Practice Phone: 937-979-9044
Practice Fax: 937-979-9009

1790453470 — CARRIE SUE WILSON
Practice Location Address:

4308 LESTON AVE
DAYTON, OH
45424-5945

Practice Phone: 937-207-1268
Practice Fax:

1437080595 — VANESSA MERRIFIELD
Practice Location Address:

248 WROE AVE
DAYTON, OH
45406-5251

Practice Phone: 614-205-2830
Practice Fax:

1932340791 — DR. TIFFANY TIARA BROWN D.O.
Practice Location Address:

2222 PHILADELPHIA DR
DAYTON, OH
45406-1813

Practice Phone: 937-734-1330
Practice Fax: 937-641-7028

Directions to “ RICHARD LACY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.