Provider Demographics
NPI:1720969488
Name:LAWRENCE, LACY (DC)
Entity type:Individual
Prefix:DR
First Name:LACY
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32436 PLAINVIEW RD
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706-0975
Mailing Address - Country:US
Mailing Address - Phone:225-314-5669
Mailing Address - Fax:
Practice Address - Street 1:27800 JUBAN RD STE 10
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-8084
Practice Address - Country:US
Practice Address - Phone:225-314-5669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2033111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor