| NPI | 1164714911 |
|---|---|
| Former Name | LACY RICHMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 58848) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 58848) |
| 208M00000X Hospitalist (Licence: MN 58848) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2021-03-11 |