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Mrs. Lacey Dively Moy, MD
Family Medicine Physician in Springfield, Illinois
NPI 1013144021

Lacey Dively Moy is a Family Medicine Physician based in Springfield, IL. Lacey Dively Moy practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Lacey Dively Moy is 1013144021 and holds a License No. 036129248 (Illinois).

The current practice location address for Lacey Dively Moy is 3220 Atlanta St, Springfield, IL and can be reached out via phone at 217-588-7400 and via fax at 217-588-7439.

Location: 3220 Atlanta St, Springfield, IL, 62707-8801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013144021
Provider Name
Lacey Dively Moy
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3220 Atlanta St, Springfield, IL, 62707-8801
Phone Number
217-588-7400
Fax Number
217-588-7439
Provider Enumeration Date
06/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036.129248 01 IL MD LICENSE
institution
Provider Business Practice Location Address Details
Address
3220 Atlanta St
City
Springfield
State
Illinois
Zip
62707-8801
Phone Number
217-588-7400
Fax Number
217-588-7439
person
Provider Business Mailing Address Details
Address
3220 Atlanta St
City
Springfield
State
Illinois
Zip
62707-8801
Phone Number
217-588-7400
Fax Number
217-588-7439
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036129248 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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