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1952720146
RUSSELL W. LACEY
RICHMOND, VA
NPI
1952720146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: VA 0101264123)
Enumeration Date
2014-04-15
Last Update Date
2018-08-14
Business Address
RUSSELL W. LACEY MD
417 N 11TH ST
RICHMOND, VA 23298
Phone number: 804-828-4097
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Mailing Address
RUSSELL W. LACEY MD
PO BOX 91734
RICHMOND, VA 23291-1734
Phone number: 804-358-6100
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