Individual
BRIAN E. LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D; M.D
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC. DIVISION OF GASTROENTEROLOGY, LEBANON, NH 03756-1000
(603) 650-5215
Mailing address
1 MEDICAL CENTER DR, DHMC. DIVISION OF GASTROENTEROLOGY, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9138
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE3224
—
VT
05
—
80003224
—
NH
Enumeration date
07/25/2006
Last updated
10/20/2020
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