Individual
ELIZABETH A LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 584-4306
(719) 595-7886
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2781
(171) 958-4430
(719) 595-7886
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200300169
NC
207P00000X
Emergency Medicine Physician
20A13779
CA
207P00000X
Emergency Medicine Physician
Primary
DR.0060926
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135YN
BSNC
NC
05
—
89135YN
—
NC
Enumeration date
05/15/2006
Last updated
11/07/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us