Individual
DR. PEELER LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
227 S 13TH AVE, LAUREL, MS 39440-4225
(601) 709-2145
Mailing address
PO BOX 2427, LAUREL, MS 39442-2427
(601) 709-2145
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
08459
MS
2085R0202X
Diagnostic Radiology Physician
08759
MS
2085R0204X
Vascular & Interventional Radiology Physician
Primary
08759
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016326
—
MS
01
—
1942214846
GROUP MEDICARE NPI
—
Enumeration date
08/01/2006
Last updated
09/11/2025
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