Regina Lacy, MD
Family Medicine in Gallup, NM. Individual provider (NPI-1).
NPI number1427064591
StatusActive
Last updated in NPPESMar 12, 2014
Details
- NPI
- 1427064591
- Entity type
- Individual (NPI-1)
- Name
- Regina Lacy
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Mar 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD00040740 | WA | Yes |
Practice location
516 E Nizhoni BlvdGallup, NM 87301-5748
Phone 505-722-1000
Mailing address
Po Box 1337Gallup, NM 87305-1337
Phone 505-722-1000
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