Individual
DONALD LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 N MAIN ST, WHITE RIVER JUNCTION, VT 05001-7061
(802) 295-1868
(802) 295-3600
Mailing address
70 N MAIN ST, WHITE RIVER JUNCTION, VT 05001-7061
(802) 295-1868
(802) 295-3600
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
042-0005381
VT
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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