Individual
DONALD JAMES LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3917 WEST RD STE A, LOS ALAMOS, NM 87544-2292
(505) 661-8900
(505) 661-8916
Mailing address
3917 WEST RD STE A, LOS ALAMOS, NM 87544-2292
(505) 661-8900
(505) 661-8916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A700
NM
208D00000X
General Practice Physician
Primary
A-700-79
NM
Other
Enumeration date
08/13/2006
Last updated
04/06/2018
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