Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kyle Lendon Lacy, MD

Individual provider Diagnostic Radiology Physician · NPI 1356847834

Dr. Kyle Lendon Lacy, MD is a Diagnostic Radiology in Madison, Wisconsin. Graduated from University of Mississippi School of Medicine in 2018, 8 years ago. Practices with Tellica Imaging - Washington LLC, a 43-clinician group and accepts Medicare assignment. Licensed in Utah and Wisconsin.

Years since qualifying
8
Trained at
University of Mississippi School of Medicine
Licensed in
UT, WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

211 S Henry St Unit 403
Madison, WI 53703-4793
Phone: (662) 418-4076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 13894379-1205 (UT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 73832-20 (WI)

Record details

NPI number1356847834
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2018
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address211 S Henry St Unit 403, Madison, WI 53703-4793

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Tellica Imaging - Washington Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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