STEPHANIE REGAN LACEY

JACKSONVILLE, FL
NPI1992741342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0202X Pediatrics, Pediatric Cardiology
(Licence: FL  OS9818)
Additional Taxonomies208000000X Pediatrics
(Licence: FL  OS9818)
Enumeration Date2006-06-22
Last Update Date2010-04-23
Business Address
-- STEPHANIE REGAN LACEY DO
841 PRUDENTIAL DR UFJP PEDIATRIC CARDIOLOGY
JACKSONVILLE, FL 32207-8329
Phone number: 904-493-1610
Mailing Address
-- STEPHANIE REGAN LACEY DO
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: