Roxane Lacy, M.D.

NPI #1457402802 in Central Islip, New York

Provider Information

NPI Number
1457402802
Entity Type
Individual
Name
Roxane Lacy, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
M.D.
Enumeration Date
Jan 14, 2007
Last Updated
Mar 1, 2013

Practice Location

Address
45 W SUFFOLK AVE FL 2
ZIP Code
11722-2156
Phone
(631) 582-4858

Specialties & Taxonomy Codes

Specialty
Pediatrics

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Provider Name
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