# DR. LACEY MCMILLAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760832117
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | TRN23830 | FL | — |
| 2086S0102X | Surgical Critical Care Physician | 1017531 | MA | — |
| 2086S0127X | Trauma Surgery Physician | 0101286193 | VA | — |
| 2086S0127X | Trauma Surgery Physician | 1017531 | MA | — |
| 2086S0127X | Trauma Surgery Physician | 2024044388 | MO | — |
| 2086S0127X | Trauma Surgery Physician | 2026-00086 | NC | — |
| 2086S0127X | Trauma Surgery Physician | DR.0068531 | CO | — |
| 2086S0127X | Trauma Surgery Physician | ME148659 | FL | — |
| 2086S0127X | Trauma Surgery Physician | T3133 | TX | Yes |

## Other

- **Enumeration date:** 06/16/2016
- **Last updated:** 03/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 111265500 | — | FL |
| 01 | — | U9993 | MEDICARE HF | FL |
| 01 | — | U9996 | MEDICARE HFPS | FL |