Individual
DR. ROBERT RAY LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
207 W COMMERCE ST, ABERDEEN, MS 39730-2633
(662) 369-9020
(662) 369-9810
Mailing address
207 W COMMERCE ST, ABERDEEN, MS 39730-2633
(662) 369-9020
(662) 369-9810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MS403
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880116
—
MS
Enumeration date
07/18/2006
Last updated
08/27/2009
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