MRS. Lacey Dively Moy, MD

NPI #1013144021 in Springfield, Illinois

Provider Information

NPI Number: 1013144021
Entity Type: Individual
Name: MRS. Lacey Dively Moy, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 17, 2009
Last Updated: May 16, 2023

Practice Location

Address: 3220 ATLANTA ST
City: Springfield
State: Illinois
ZIP Code: 62707-8801
Phone: (217) 588-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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