MARK DANFORTH LACY

PRESCOTT, AZ
NPI1134177215
Professional NameMARK D. LACY
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: AZ  15404)
Additional Taxonomies207R00000X Internal Medicine
(Licence: TX  45341)
207RI0200X Internal Medicine, Infectious Disease
(Licence: MT  143343)
207RI0200X Internal Medicine, Infectious Disease
(Licence: TX  45341)
207RI0200X Internal Medicine, Infectious Disease
(Licence: NC  01598)
207RI0200X Internal Medicine, Infectious Disease
(Licence: NM  MD2020-0241)
208000000X Pediatrics
(Licence: NM  MD2020-0241)
208M00000X Hospitalist
(Licence: TX  Q8279)
208M00000X Hospitalist
(Licence: NM  MD2020-0241)
Enumeration Date2006-05-04
Last Update Date2025-08-13
Business Address
Dr. MARK DANFORTH LACY MD
300 N LEE BLVD
PRESCOTT, AZ 86301-5710
Phone number: 928-708-4603
Mailing Address
Dr. MARK DANFORTH LACY MD
PO BOX 10880
PRESCOTT, AZ 86304-0880
Phone number: 602-406-4786