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Individual
LACY A KNIGHT
Active
Individual
LACY A KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
036107997
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
36107997
IL
Other
Enumeration date
12/21/2005
Last updated
03/12/2014
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