Mcmillan, Lacey

Mcmillan, Lacey is an individual health care provider with primary practice located at 630 S Fleishel Ave , Tyler TX 75701-2041. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is her primary health care specialty. Mcmillan, Lacey can be contacted via phone (903) 606-5560.

Contact Information

Primary practice address
630 S Fleishel Ave Tyler TX 75701-2041
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 1017531 Massachusetts
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X DR.0068531 Colorado
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 2026-00086 North Carolina
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 0101286193 Virginia
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 2024044388 Missouri
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X T3133 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X TRN23830 Florida
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME148659 Florida

Profile Details

NPI number 1760832117
LBN Legal business name Mcmillan, Lacey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2016
Last updated Mar 18th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760832117 NPPES
Florida Other U9993 MEDICARE HF
Florida Other U9996 MEDICARE HF
Florida MEDICAID 111265500 MEDICARE HF

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