Diana Lacy, DDS
NPI #1902999873 in Libertyville, Illinois
Provider Information
- NPI Number
- 1902999873
- Entity Type
- Individual
- Name
- Diana Lacy, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 747 N MILWAUKEE AVE
- Address 2
- SUITE 103
- City
- Libertyville
- State
- Illinois
- ZIP Code
- 60048
- Phone
- (847) 367-3050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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