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1861955049
TYLER CARLETON LACY
SPOKANE, WA
NPI
1861955049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-13
Last Update Date
2019-04-13
Business Address
Dr. TYLER CARLETON LACY MD
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 928-242-2181
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Mailing Address
Dr. TYLER CARLETON LACY MD
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-474-3020
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