Individual
FRANK LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 DORNACH WAY, ADVANCE, NC 27006-7305
(336) 940-2407
(336) 940-3038
Mailing address
108 DORNACH WAY, ADVANCE, NC 27006-7305
(336) 940-2407
(336) 940-3038
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
202300116
NC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
248983
NC
Other
Enumeration date
03/21/2018
Last updated
12/14/2023
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