Michelle Lacy

NPI 1740734821 · on the registry since 2016 · sole proprietor

Practice

Address: 6170 S Saginaw Rd
Grand Blanc, MI 48439
Phone: (810) 603-9765
Fax: (810) 603-9768
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-08-07

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