Kyle Lacy M.D. Orthopedist in Detroit MI

Kyle Lacy M.D. is an orthopedic with a current address of 4201 St. Antoine  Detroit Uhc 6d5.5 MI 4-8201. The NPI is 1568779338, and the license number is 4301097292 (MI). It was issued on január 9, 2010. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an individual, and the NPI number was last updated on január 9, 2010.

Kyle Lacy M.D. can be reached by phone at 3139668013, by mail at 724 York St Plymouth MI 48170-1483, or by fax at .

 

Name: Kyle Lacy M.D.

Specialization: Orthopedic

Provider Entity Type: Individual

Is Sole Proprietor: Yes

Gender: Male

 

Practice Location Address:

4201 St. Antoine

Detroit

MI 4-8201

Telephone Number: 3139668013

Fax Number:

 

Mailing Address:

724 York St

Plymouth

MI 48170-1483

Telephone Number: 9492576183

Fax Number:

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

 

NPI Number: 1568779338

Enumeration Date: január 9, 2010

Last Update: január 9, 2010

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

 

Primary Taxonomy Code: 207X00000X

License Number: 4301097292

License State: MI

Other Taxonomy (if any):

 

Providers may hold one or more medical licenses in the same state or in different states for different specialties.

Identifier:

Code Type:

Identifier State:

Identifier Issuer:

 

Other Identifiers (if any):