Individual
DEBORAH LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS
Contact information
Practice address
2801 HEMLOCK AVE FL 1, BALTIMORE, MD 21214-1246
(410) 323-5002
(410) 323-5001
Mailing address
7602 TAMSIN CT, ROSEDALE, MD 21237-3752
(443) 956-5465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R114816
MD
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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