Individual
DR. MARIAN LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
52413
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173257
—
AZ
Enumeration date
12/08/2010
Last updated
11/04/2025
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