# HUGH L LACEY MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588982870
- **Authorized official:** DR. HUGH LAKE LACEY M.D. (PRESIDENT)
- **Authorized official phone:** (417) 624-2111

## Contact information

- **Practice address:** 1905 W32ND STREET, SUITE 306, JOPLIN, MO 64804-1512
- **Practice address phone:** (417) 624-2111
- **Practice address fax:** (417) 624-1551
- **Mailing address:** PO BOX 2067, JOPLIN, MO 64804-2067
- **Mailing address phone:** (417) 624-2111
- **Mailing address fax:** (417) 624-1551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | R6N85 | MO | Yes |

## Other

- **Enumeration date:** 05/11/2010
- **Last updated:** 02/17/2012