Individual
MATTHEW LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2122 HEALTH DR SW, WYOMING, MI 49519-9698
(616) 252-5950
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-5950
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
4301504005
MI
Other
Enumeration date
03/22/2017
Last updated
07/23/2025
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