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Individual

DR. PEELER LACEY

Active
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Individual

DR. PEELER LACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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
Update your record

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