Individual
DR. SPENCER CLARK LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-2606
(910) 815-5698
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 667-2606
(910) 815-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.077430
IL
207R00000X
Internal Medicine Physician
2024-01297
NC
208M00000X
Hospitalist Physician
Primary
2024-01297
NC
Other
Enumeration date
03/24/2021
Last updated
07/02/2024
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