Individual
DR. SAMUEL J LACINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 MICHIGAN ST NE, SUITE 4300, GRAND RAPIDS, MI 49503
(616) 267-9150
(616) 267-1408
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
4301036489
MI
Other
Enumeration date
09/08/2006
Last updated
02/01/2019
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