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1427064591
REGINA LACY
GALLUP, NM
NPI
1427064591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00040740)
Enumeration Date
2006-07-31
Last Update Date
2014-03-12
Business Address
-- REGINA LACY MD
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- REGINA LACY MD
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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