Individual
MR. LACY ALVIN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1160 APALACHEE PKWY, TALLAHASSEE, FL 32301-4542
(850) 878-8843
(850) 681-2848
Mailing address
1160 APALACHEE PKWY, TALLAHASSEE, FL 32301-4542
(850) 878-8843
(850) 681-2848
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101621
FL
Other
Enumeration date
03/22/2007
Last updated
05/10/2026
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