LACEY DIVELY MOY

SPRINGFIELD, IL
NPI1013144021
Former NameLACEY M DIVELY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036129248)
Enumeration Date2009-06-17
Last Update Date2023-05-16
Business Address
Mrs. LACEY DIVELY MOY MD
3220 ATLANTA ST
SPRINGFIELD, IL 62707-8801
Phone number: 217-588-7400
Mailing Address
Mrs. LACEY DIVELY MOY MD
3220 ATLANTA ST
SPRINGFIELD, IL 62707-8801
Phone number: 217-588-7400
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