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)Name
Code
2085B0100X
2085R0202X
2085R0204X
Primary Taxonomy
No
No
No
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