OrganizationActive
Lacy Davis MD PLLC
NPI 1053914036 · Pediatrics Physician · Luther, OK
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.