Male or Other

Dr. Peeler Lacey M.D.

Full Name

Dr. Peeler Lacey M.D.

NPI Number

1497762744

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/01/2006

Specialties

(Taxonomies)

Licenses

State

Mississippi
Mississippi

License Number

08459
08759

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2427
227 S 13TH AVE

City

Laurel
Laurel

State

MS
MS

Postal Code

39442-2427
39440-4225

Country

US
US

Telephone Number

(601) 709-2145
(601) 709-2145

Identifiers

Identifier

00016326
1942214846

Identifier State

MS
Unknown

Identifier Issuer

Unknown
GROUP MEDICARE NPI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address