Individual
LACEY MARIE KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8927
(734) 240-8987
Mailing address
1 SEAGATE, STE 800, TOLEDO, OH 43604-1558
(567) 585-1918
(419) 824-7359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006595
MI
Other
Enumeration date
01/28/2013
Last updated
03/21/2018
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