Individual
BENJAMIN W LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 12TH AVE S, SEATTLE, WA 98144-2712
(206) 621-4491
Mailing address
1200 12TH AVE S, SEATTLE, WA 98144-2712
(206) 621-4491
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ML20008250
WA
Other
Enumeration date
08/31/2006
Last updated
05/26/2021
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