Individual
DR. TYLER CARLETON LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5295 S COMMERCE DR STE 550, MURRAY, UT 84107-4736
(801) 313-4110
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14222027-1205
UT
Other
Enumeration date
04/13/2019
Last updated
11/12/2025
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