Individual
ALEXA LILLIAN LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
131 MILLER ST, WINSTON SALEM, NC 27103-2508
(336) 716-4161
Mailing address
ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4161
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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