Individual
SARAH LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
990 W ANN ARBOR TRL STE 210, PLYMOUTH, MI 48170-6202
(734) 554-6004
(734) 455-5637
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 327-0872
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301081675
MI
Other
Enumeration date
02/26/2007
Last updated
07/16/2019
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