Tara Lacy Ingram
Medical Specialty
Professional ID
- NPI: 1821490061
- PECOS ID: 8921307000
- Enrollment ID: I20160422002010
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2011
Medical Practices
- Organization Name: Woods Creek Psychological Group, Apc
- Group Practice ID assigned by PECOS: 7618276825
- Number of Group Practice member: 3
Location
- Address1: 103 S Forest Rd
- Address2:
- City: Sonora
- State: California
- Zip Code: 95370
- Phone Number: (209)532-7005
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):