Individual
LACY REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-4083
(417) 269-4652
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2016013267
MO
207P00000X
Emergency Medicine Physician
BP10047338
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200033825
—
MO
Enumeration date
05/24/2013
Last updated
04/29/2026
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