Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lacey Medical Clinic Ps

Organization Family Medicine Physician · NPI 1558464974

Lacey Medical Clinic Ps provides Family Medicine Physician services 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 Not confirmed with CMS for 12 years — call before visiting
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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