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Individual

SEAN AUSTIN LACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
101 BUCHANAN RD, NAVAL ACADEMY, MD 21402-5107
(410) 293-1748
Mailing address
101 BUCHANAN RD, NAVAL ACADEMY, MD 21402-5107
(410) 293-1748

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0102205037
VA

Other

Enumeration date
04/15/2016
Last updated
11/23/2022
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