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LACEY CHAMBERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-6925
(352) 627-9350
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 627-9350
(352) 273-9054

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
89241
GA
208000000X
Pediatrics Physician
Primary
ME169664
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123518600
FL
Enumeration date
04/18/2018
Last updated
09/30/2024
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