LACEY TUDOR

MECHANICSVILLE, VA
NPI1881017655
Former NameLACEY LUMPKIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110004486)
Enumeration Date2014-01-29
Last Update Date2014-01-29
Business Address
-- LACEY TUDOR PA
8260 ATLEE RD EMERGENCY DEPT.
MECHANICSVILLE, VA 23116-1844
Phone number: 804-764-6300
Mailing Address
-- LACEY TUDOR PA
38935 ANN ARBOR RD CREDENTIALING DEPT
LIVONIA, MI 48150-3397
Phone number: 734-805-0488
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