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1639370091
GAYNA GEORGETTE LACY
LAUREL, MD
NPI
1639370091
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Former Name
GAYNA THOMAS LACY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 22170)
Enumeration Date
2007-05-31
Last Update Date
2019-07-03
Business Address
GAYNA GEORGETTE LACY DPT
13946 BALTIMORE AVE
LAUREL, MD 20707-5000
Phone number: 301-498-2212
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Mailing Address
GAYNA GEORGETTE LACY DPT
PO BOX 4058
CROFTON, MD 21114-4058
Phone number: 410-315-9080
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