Individual
LACEY A RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6567 E CARONDELET DR, SUITE 415, TUCSON, AZ 85710-6152
(520) 885-6701
(520) 885-9037
Mailing address
6567 E CARONDELET DR, SUITE 415, TUCSON, AZ 85710-6152
(520) 885-6701
(520) 885-9037
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301087727
MI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
45818
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
703804
—
AZ
01
—
Z154980
MEDICARE
AZ
Enumeration date
06/08/2007
Last updated
06/05/2019
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