Individual
DR. MARK DANFORTH LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N LEE BLVD, PRESCOTT, AZ 86301-5710
(928) 708-4603
(928) 445-9209
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45341
TX
207RI0200X
Infectious Disease Physician
01598
NC
207RI0200X
Infectious Disease Physician
143343
MT
207RI0200X
Infectious Disease Physician
Primary
15404
AZ
207RI0200X
Infectious Disease Physician
45341
TX
207RI0200X
Infectious Disease Physician
MD2020-0241
NM
208000000X
Pediatrics Physician
MD2020-0241
NM
208M00000X
Hospitalist Physician
MD2020-0241
NM
208M00000X
Hospitalist Physician
Q8279
TX
Other
Enumeration date
05/04/2006
Last updated
08/13/2025
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