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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LACEY DIVELY MOY, MD

Active

MRS. LACEY DIVELY MOY, MD is a Family Medicine healthcare provider located in SPRINGFIELD, Illinois. NPI 1013144021 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SPRINGFIELD, IL

Registration Details

NPI Number
1013144021
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2009 (16.978026748881 yrs)
Last Updated
May 16, 2023
License
036129248 (IL)

Practice Information

Address
3220 ATLANTA ST
SPRINGFIELD, IL, 627078801
Browse IL providers · Browse ZIP 62707
Phone
2175887400
Fax
2175887439
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in SPRINGFIELD, IL

Name Credential NPI
DR. BENJAMIN E. MONTGOMERY M.D. 1083609747
SHEILA AYORINDE MD 1609864685
JANET R ALBERS M.D. 1023006913
TRACY A ALDRIDGE M.D. 1154310027
AMBER J BARNHART M.D. 1215926183
CAREYANA M BRENHAM M.D. 1568451946
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.