Lacey Dively Moy MD

  • NPI 1013144021
According to our database, the NPI number for Lacey Dively Moy MD is 1013144021 and activated since 14 years ago. Lacey Dively Moy MD is an individual provider who specializes in Family Medicine, and the primary practice location is 1506 W Reynolds St, Pontiac, IL 61764. You can also contact Lacey Dively Moy MD via telephone number is (815) 844-6123. Provider NPI information was last updated on 11/21/2012.

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Overview of Lacey Dively Moy MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/17/2009
  • Last updated: 11/21/2012

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 036129248
  • License State: IL

Provider Mailing Address

  • Address: 1506 W Reynolds St
    Pontiac, IL 61764
  • Phone: 815-844-6123
  • Fax: 815-884-7851

Provider Practice Location

  • Address: 1506 W Reynolds St
    Pontiac, IL 61764
  • Phone: 815-844-6123
  • Fax: 815-884-7851

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 036129248
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Lacey Dively Moy MD?
  • A: The npi number for Lacey Dively Moy MD is 1013144021.
  • Q: What are Lacey Dively Moy MD's specialties?
  • A: Lacey Dively Moy MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Lacey Dively Moy MD?
  • A: The medical license number for Lacey Dively Moy MD is 036129248 and issued in IL in USA.
  • Q: Where is Lacey Dively Moy MD practice location?
  • A: Lacey Dively Moy MD is practicing at 1506 W Reynolds St, Pontiac, IL 61764.
  • Q: How to contact Lacey Dively Moy MD?
  • A: You can contact Lacey Dively Moy MD via 815-844-6123.