Organization
LACY DAVIS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LACY STEPHENS DAVIS MD (OWNER, PHYSICIAN)
(405) 513-1870
Entity
Organization
Contact information
Practice address
195000 E COVELL RD, LUTHER, OK 73054
(405) 513-1870
Mailing address
3418 PERSIMMON CREEK DR, EDMOND, OK 73013-7848
(405) 513-1870
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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