Search › Arizona › 207RI0200X
Mark Lacy, MD
NPI 1134177215 · on the registry since 2006
Practice
- Address
- 300 N Lee Blvd
Prescott, AZ 86301 - Phone
- (928) 708-4603
- Fax
- (928) 445-9209
- Clinicians at this address
- 7
Additional practice sites
- Dept Internal Medicine 1 University Nm Msc 10-5550, Albuquerque, NM
- 210 Sunnyview Ln Ste 105, Kalispell, MT
- 430 Windward Way Ste 100, Kalispell, MT
Registry record
- Primary taxonomy
- 207RI0200X
207RI0200X
- Also registered as
- 207R00000X
207RI0200X
207RI0200X
207RI0200X
207RI0200X
208000000X
208M00000X
208M00000X - Licence states on file
- TX, MT, NC, NM, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-13
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 Arizona