Search › Michigan › 207Q00000X
Charlton Lacerna, M.D
NPI 1235373135 · on the registry since 2009 · sole proprietor
Practice
- Address
- 19460 Grand River Ave
Detroit, MI 48223 - Phone
- (313) 387-1097
- Fax
- (313) 387-8795
- Organisation at this address
- Big D Corp
Anatrup Inc.
Kalika Corp.
Rehab One, Inc.
Paul Rotarius IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 26004 104th Ave Se, Kent, WA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- MI, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan