Individual
MRS. LACEY MICHELLE GREBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
1010 DELAFIELD RD, PITTSBURGH, PA 15240-1005
(412) 822-2145
Mailing address
617 PIKEVIEW DR, PITTSBURGH, PA 15239-1329
(412) 737-0867
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
DF004821
PA
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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