Individual
DR. MICHELE NATIONS LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 TESSITORE CT, MONTROSE, CO 81401-5689
(970) 240-8694
Mailing address
5020 PLEASANT POINT DR, RIDGWAY, CO 81432-8902
(617) 515-9181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00202401
CO
Other
Enumeration date
04/08/2009
Last updated
07/02/2015
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