Individual
DR. LACEY WHITMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
789 HOWARD AVE, ADULT PRIMARY CARE CENTER, NEW HAVEN, CT 06519-1304
(203) 688-2984
(203) 688-4092
Mailing address
15 YORK ST, LMP 1091B, NEW HAVEN, CT 06510-3221
(203) 785-7941
(203) 785-3922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56178
CT
Other
Enumeration date
05/07/2013
Last updated
02/26/2017
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