LACEY IMHOFF GODBOLD

LMG LLC

Dr LACEY IMHOFF GODBOLD is a female medical professional, specializing in Physical Therapy. She graduated in 2009.

Contact

LMG LLC

2600 BELLE CHASSE HWY I
TERRYTOWN
LA
700567156

Tel: 5043917670

LACEY IMHOFF GODBOLD Information

Npi 1780972281
Pac Id 0648584953
Professional Enrollment Id I20150730013013
Last Name GODBOLD
First Name LACEY
Middle Name IMHOFF
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LMG LLC
Group Practice Pac Id 7719109628
Number Of Group Practice Members 49
Line 1 Street Address 2600 BELLE CHASSE HWY I
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TERRYTOWN
State LA
Zip Code 700567156
Phone Number 5043917670
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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