Individual
DANIEL LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-7000
Mailing address
409 TRIBUTARY CIR, WILMINGTON, NC 28401-7051
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
327553
NC
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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