Individual
ROBERT LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3496 E LAKE LANSING RD, EAST LANSING, MI 48823-2288
(517) 333-0968
Mailing address
3496 E LAKE LANSING RD, EAST LANSING, MI 48823
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101015868
MI
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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