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Organization
LACY MEDICAL GROUP INC
Active
Organization
LACY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T TROMBLEY (CEO)
(412) 805-3812
Entity
Organization
Contact information
Practice address
393 VANADIUM RD, PITTSBURGH, PA 15243-1427
(412) 805-3812
Mailing address
393 VANADIUM RD, PITTSBURGH, PA 15243-1427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD427067
PA
Other
Enumeration date
05/23/2009
Last updated
05/23/2009
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