Lacy M Suby (NPI# 1023540804, PAC ID# 3072858281) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1023540804 |
| PAC ID by PECOS | 3072858281 |
| Professional Enrollment ID | I20181217001503 |
| Full Name | Lacy M Suby |
| Address |
2755 10th Ave N Grand Forks ND 58203-2136 |
| Phone Number | 7017380888 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350019 | ALTRU HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2755 10th Ave N, Grand Forks, ND 58203-2136 | 7017380888 |
| Street Address |
2755 10TH AVE N |
| City | GRAND FORKS |
| State | ND |
| Zip | 58203-2136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane K Baumbach | Clinical Social Worker | 2755 10th Ave N, Grand Forks, ND 58203-2136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenna R Smaby | Chiropractic | 2860 10th Ave N, Suite 200, Grand Forks, ND 58203-2275 | |
| Julie A Lagodinski Christian | Optometry | 2860 10th Ave N, 350 Advanced Eyecare PC, Grand Forks, ND 58203-2276 | |
| Steven Richard Wiseth | Chiropractic | 2860 10th N Ave, Suite 550, Grand Forks, ND 58203-2277 | |
| Kevin M Fire | Audiologist | 121 N Washington St, Grand Forks, ND 58203-3400 | |
| Angela N Muhs | Clinical Social Worker | 117 N Washington St, Suite C, Grand Forks, ND 58203-3450 | |
| Julie A Riddle | Clinical Social Worker | 117 N Washington St, Suite C, Grand Forks, ND 58203-3450 | |
| Rachel J Benson | Chiropractic | 824 University Ave, Suite A, Grand Forks, ND 58203-3547 |
| City | GRAND FORKS |
| Zip Code | 58203 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | GRAND FORKS + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Lacy M Suby.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.