| NPI | 1528385721 |
|---|---|
| Former Name | LACY-ANN P LANDELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 56084) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 265630) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2018-10-13 |