Individual
ALEXANDRA MICHELLE LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-1669
(651) 254-5292
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
61752
MN
208600000X
Surgery Physician
Primary
61752
MN
208600000X
Surgery Physician
73664
WI
2086S0102X
Surgical Critical Care Physician
61752
MN
2086S0127X
Trauma Surgery Physician
61752
MN
2086S0127X
Trauma Surgery Physician
73664
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2014
Last updated
03/20/2024
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