NPI 1013144021

Lacey Dively Moy, MD

Practitioner Family Medicine Physician Springfield, IL

Practice location

Address: 3220 Atlanta St, Springfield, IL 62707-8801
Phone: (217) 588-7400
Fax: (217) 588-7439

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 036129248 (IL)

Other Family Medicine providers in Illinois →

Registry record

NPI: 1013144021
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2009
Record last updated: 16 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.