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

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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