Individual
JENNIFER A LACY
Active
Individual
JENNIFER A LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
15384
NH
207RP1001X
Pulmonary Disease Physician
Primary
15384
NH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
15384
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2008
Last updated
07/24/2020
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