Lacey Blackwell, DDS
NPI 1063019404 · on the registry since 2020
Practice
- Address
- 5954 Harbour Park Dr
Midlothian, VA 23112 - Phone
- (804) 739-1600
- Organisation at this address
- Robert N Penterson Dds Pc
Robert N. Penterson, Dds, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia