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Individual

DAVID WILLIAM LACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
70 MEDICAL CENTER CIR STE 302, FISHERSVILLE, VA 22939-2273
(540) 245-7400
(540) 245-7401
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-5162
(540) 932-5875

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101267148
VA
2084N0400X
Neurology Physician
2009-01893
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0982950
OH
05
890676X
NC
Enumeration date
08/12/2005
Last updated
06/18/2025
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