TYLER CARLETON LACY

SPOKANE, WA
NPI1861955049
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-13
Last Update Date2019-04-13
Business Address
Dr. TYLER CARLETON LACY MD
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 928-242-2181
Mailing Address
Dr. TYLER CARLETON LACY MD
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-474-3020
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