OrganizationActive
Lacy Davis MD PLLC
NPI 1053914036 · Pediatrics Physician · Luther, OK
Lacy Davis MD PLLC is a Pediatrics Physician organization in Luther, OK (NPI 1053914036).
Provider details
- NPI number
- 1053914036
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lacy Davis, Owner, Physician(405) 513-1870
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
195000 E Covell Rd
Luther, OK 73054
Phone: (405) 513-1870
Approximate (ZIP-level) locationGet directions
Mailing address
3418 Persimmon Creek Dr
Edmond, OK 73013-7848
Registry dates
- Enumerated
- 2020-11-20
- Last updated
- 2020-11-20
- Certified
- 2020-11-13
Frequently asked questions
- What is Lacy Davis MD PLLC's NPI number?
- Lacy Davis MD PLLC's National Provider Identifier (NPI) is 1053914036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lacy Davis MD PLLC?
- Lacy Davis MD PLLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lacy Davis MD PLLC located?
- Lacy Davis MD PLLC's practice location on file with NPPES is 195000 E Covell Rd, Luther, OK 73054.
- What is Lacy Davis MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lacy Davis MD PLLC is (405) 513-1870.
- Who is the authorized official for Lacy Davis MD PLLC?
- The authorized official listed on Lacy Davis MD PLLC's NPPES record is Lacy Davis, Owner, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lacy Davis MD PLLC's NPI active?
- Yes — Lacy Davis MD PLLC's NPI (1053914036) is active in the NPPES registry as of the last update on 2020-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.