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Individual

LACEY ZACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1245 WILSHIRE BLVD, STE 607, LOS ANGELES, CA 90017-4806
(213) 338-1521
(213) 266-8183
Mailing address
1245 WILSHIRE BLVD STE 607, LOS ANGELES, CA 90017-4806
(213) 338-1521
(213) 266-8183

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A116342
CA

Other

Enumeration date
06/30/2011
Last updated
01/06/2020
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