Individual
DR. JULIETA IBARRA LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
27275 HAGGERTY RD STE 500, NOVI, MI 48377-3635
(313) 574-7200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.138728
OH
207P00000X
Emergency Medicine Physician
Primary
4301507207
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
12/20/2024
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