person
Mr. Lacy Alvin Douglas, PA
Medical Physician Assistant in Tallahassee, Florida
NPI 1609993112

Lacy Alvin Douglas is a Medical Physician Assistant based in Tallahassee, FL and is specialized in Medical. Lacy Alvin Douglas practices in Tallahassee, FL and has the professional credentials of PA. The NPI Number for Lacy Alvin Douglas is 1609993112 and holds a License No. PA9101621 (Florida).

The current practice location address for Lacy Alvin Douglas is 1160 Apalachee Pkwy, Tallahassee, FL and can be reached out via phone at 850-878-8843 and via fax at 850-681-2848.

Location: 1160 Apalachee Pkwy, Tallahassee, FL, 32301-4542
person
Provider Profile Details
NPI Number
1609993112
Provider Name
Lacy Alvin Douglas
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1160 Apalachee Pkwy, Tallahassee, FL, 32301-4542
Phone Number
850-878-8843
Fax Number
850-681-2848
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1160 Apalachee Pkwy
City
State
Zip
32301-4542
Phone Number
850-878-8843
Fax Number
850-681-2848
person
Provider Business Mailing Address Details
Address
1160 Apalachee Pkwy
City
State
Zip
32301-4542
Phone Number
850-878-8843
Fax Number
850-681-2848
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9101621 (Florida)
Definition
Definition to come...
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