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Individual

LACEY CULPEPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R81565
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R81565
ARIZONA MEDICAL BOARD
AZ
Enumeration date
04/29/2025
Last updated
04/29/2025
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