Individual
MICHAEL E LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2565 CAL YOUNG RD, EUGENE, OR 97401
(541) 686-1197
(541) 686-0445
Mailing address
2565 CAL YOUNG RD, EUGENE, OR 97401
(541) 686-1197
(541) 686-0445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6083
OR
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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