Individual
DR. KRISTINA DIANN LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
240 HOSPITAL PL, SUITE 203, SOLDOTNA, AK 99669-7559
(907) 714-5312
(907) 714-5200
Mailing address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
111585
AK
Other
Enumeration date
04/29/2013
Last updated
07/17/2020
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