Individual
BLAIR TULLOCH LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 6TH AVE S, BIRMINGHAM, AL 35249-0907
(205) 934-8865
(617) 376-0435
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
249449
MA
207V00000X
Obstetrics & Gynecology Physician
Primary
41812
AL
Other
Enumeration date
05/01/2007
Last updated
02/01/2024
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