Individual
MS. LACY ALSTON COLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 SUNNYBROOK RD STE 120, RALEIGH, NC 27610
(919) 231-6073
(919) 231-8093
Mailing address
123 SUNNYBROOK RD STE 120, RALEIGH, NC 27610
(919) 231-6073
(919) 231-8093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18360
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23811
BC BS
—
05
—
8923811
—
NC
Enumeration date
11/22/2006
Last updated
10/09/2025
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