Individual
MICHAEL ADAM LACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2101 W ARLINGTON BLVD STE 210, GREENVILLE, NC 27834-5758
(252) 931-7638
(252) 931-7694
Mailing address
PO BOX 30750, GREENVILLE, NC 27833-0750
(252) 931-7638
(252) 931-7694
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34.013807
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165326
—
OH
05
—
0361909
—
OH
Enumeration date
03/26/2014
Last updated
07/23/2021
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