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1306958293
BENJAMIN W LACEY
SEATTLE, WA
NPI
1306958293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WA ML20008250)
Enumeration Date
2006-08-31
Last Update Date
2021-05-26
Business Address
BENJAMIN W LACEY MD
1200 12TH AVE S
SEATTLE, WA 98144-2712
Phone number: 206-621-4491
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Mailing Address
BENJAMIN W LACEY MD
1200 12TH AVE S
SEATTLE, WA 98144-2712
Phone number: 206-621-4491
Copy
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