Individual
DR. RYAN R. LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
49 BILLS BLVD, MARTINSVILLE, IN 46151-3354
(765) 349-3627
(765) 349-3630
Mailing address
49 BILLS BLVD, MARTINSVILLE, IN 46151-3354
(765) 349-3627
(765) 349-3630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01054395A
IN
Other
Enumeration date
02/22/2006
Last updated
09/20/2017
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