Darryl O Lacy, PA

NPI #1932381357 in Rocky Ford, Colorado

Provider Information

NPI Number: 1932381357
Entity Type: Individual
Name: Darryl O Lacy, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 27, 2007
Last Updated: Nov 27, 2007

Practice Location

Address: 903 S 12TH ST
City: Rocky Ford
State: Colorado
ZIP Code: 81067-2127
Phone: (719) 254-7623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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