Individual
DR. JUDITH ANNETTE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 268-7111
Mailing address
PO BOX 749363, ATLANTA, GA 30374-9363
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
127470501205
UT
Other
Enumeration date
08/30/2006
Last updated
01/15/2025
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