Individual
STEPHEN H LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7200
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-031827
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203258
UNISON
OH
01
—
000000503684
ANTHEM
OH
01
—
0321315
BCMH
OH
05
—
0321315
—
OH
01
—
0639898
AETNA
OH
01
—
363731
WELLCARE
OH
01
—
738068
BUCKEYE
OH
01
—
P00021284
RAILROAD MEDICARE
OH
01
—
P00372937
RAILROAD MEDICARE
OH
Enumeration date
07/17/2006
Last updated
02/02/2012
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