Individual provider · Type 1 NPI
Stuart R. Lacey, MD
Pediatric Surgery Physician · Glendale, AZ
NPI number
1831171107
Active
Practice location
5310 W Thunderbird Rd, SUITE110
Glendale, AZ 85306-4706
Fax (602) 865-6100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Surgery Physician Primary | 2086S0120X | 31590 (AZ) |
| Pediatric Surgery Physician | 2086S0120X | MD155068 (OR) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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About NPI 1831171107
Stuart R. Lacey, MD's National Provider Identifier is 1831171107, issued on Nov 14, 2005. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Glendale, AZ. The record was last updated on Feb 4, 2014.