Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacey Medical Clinic Ps

Organization Family Medicine Physician · NPI 1558464974

Lacey Medical Clinic Ps is a Family Medicine Physician in Lacey, Washington. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

5602 Ruddell Rd SE
Lacey, WA 98503
Phone: (360) 438-0394
Fax: (360) 493-0824
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1558464974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Krauss — President · (360) 438-0394
NPI enumeratedSeptember 7, 2006
Last updated in NPPESJune 23, 2014
Mailing address5602 Ruddell Rd Se, Lacey, WA 98503

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