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Individual

STEPHEN H LACEY

Active
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Individual

STEPHEN H LACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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