Individual
MARY ENGLISH LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
EVERGREEN HOSPITAL, 12040 NE 128TH ST, KIRKLAND, WA 98034
(859) 583-6273
Mailing address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2014-0481
NM
208M00000X
Hospitalist Physician
Primary
60391139
WA
Other
Enumeration date
03/23/2011
Last updated
11/06/2024
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