| Dr Lacy A. Colson, Md | |
|
123 Sunnybrook Rd Ste 120 Raleigh NC 27610 | |
| (919) 231-6073 | |
| (919) 231-8093 |
| Full Name | Dr Lacy A. Colson, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 123 Sunnybrook Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Lacy Alston Colson (PHYSICIAN) |
| Authorized Official Contact | 9192316073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lacy A. Colson, Md 123 Sunnybrook Rd. Ste 120 Raleigh NC 27610 Ph: (919) 231-6073 | Dr Lacy A. Colson, Md 123 Sunnybrook Rd Ste 120 Raleigh NC 27610 Ph: (919) 231-6073 |
| NPI Number | 1770921405 |
|---|---|
| Provider Enumeration Date | 06/04/2013 |
| Last Update Date | 01/25/2024 |
| Medicare PECOS PAC ID | 2769624204 |
|---|---|
| Medicare Enrollment ID | O20130812000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770921405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18360 (North Carolina) | Primary |
| Provider Name | Lacy A Colson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568537579 PECOS PAC ID: 0941216709 Enrollment ID: I20060302000608 |
| Provider Name | Angela Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518610997 PECOS PAC ID: 4880080316 Enrollment ID: I20220408000507 |
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