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JESSE M LACY DC
NPI 1619038775
Chiropractor in Palm Bay, FL

Active since December 13, 2006
1900 PALM BAY ROAD NORTHEAST, SUITE C, PALM BAY, FL 32905(321) 726-0168 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse M Lacy Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE M LACY DC (NPI 1619038775) is an individual chiropractor in Palm Bay, Florida, licensed in Florida (CH0005634) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1619038775
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJESSE M LACYCredential: DC
Location Address1900 PALM BAY ROAD NORTHEAST, SUITE CPalm Bay, FL 32905-2955
Mailing Address586 Parker RoadWest Melbourne, FL 32904-7422 · (321) 726-0168
Phone(321) 726-0168
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619038775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in FL · CH0005634✔ Licensed in GA · CHIR004995✔ Licensed in AL · 1523✔ Licensed in TN · DC0000001066
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1900 PALM BAY ROAD NORTHEAST, Palm Bay, FL 32905
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Other Identifiers 2

Medicare ID-Type Unspecified22527A
Medicare UPINU31145

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Lacy's NPI number?

The NPI number for Jesse Lacy is 1619038775. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Jesse Lacy located?

Jesse Lacy practices at 1900 Palm Bay Road Northeast Suite C, Palm Bay, FL 32905. The listed phone number is (321) 726-0168.

What is Jesse Lacy's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jesse Lacy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.