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1609993112
LACY ALVIN DOUGLAS
TALLAHASSEE, FL
NPI
1609993112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9101621)
Enumeration Date
2007-03-22
Last Update Date
2015-05-05
Business Address
Mr. LACY ALVIN DOUGLAS PA
1160 APALACHEE PKWY
TALLAHASSEE, FL 32301-4542
Phone number: 850-878-8843
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Mailing Address
Mr. LACY ALVIN DOUGLAS PA
1160 APALACHEE PKWY
TALLAHASSEE, FL 32301-4542
Phone number: 850-878-8843
Copy
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