Lacy Petersen, DMD

NPI #1780254441 in Ocala, Florida

Provider Information

NPI Number
1780254441
Entity Type
Individual
Name
Lacy Petersen, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Jun 25, 2021
Last Updated
Aug 3, 2021

Practice Location

Address
1705 SE 28TH LOOP
City
Ocala
State
Florida
ZIP Code
34471-1079
Phone
(352) 351-4412

Specialties & Taxonomy Codes

Specialty
Dentist

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