Individual
KATRINA LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-2102
(036) 283-8742
Mailing address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 629-4809
(520) 783-4458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102204957
VA
Other
Enumeration date
06/07/2016
Last updated
04/25/2024
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