Individual
LACY S DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2017 W I 35 FRONTAGE RD, SUITE 150, EDMOND, OK 73013-8504
(405) 757-3365
(405) 757-3366
Mailing address
2017 W I 35 FRONTAGE RD, SUITE 150, EDMOND, OK 73013-8504
(405) 757-3365
(405) 757-3366
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29259
OK
Other
Enumeration date
05/30/2012
Last updated
01/13/2017
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