Individual
DR. LACEY WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2006-01161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008000215K
HUMANA
—
05
—
32626900
—
WI
Enumeration date
05/16/2006
Last updated
07/21/2023
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