Search › Michigan › 1041C0700X
Lacey Smith
NPI 1841840568 · on the registry since 2019 · sole proprietor
Practice
- Address
- 252 Edison Park Ave Nw
Grand Rapids, MI 49504 - Phone
- (989) 331-0529
Additional practice sites
- 630 Kenmoor Ave Se Ste 103, Grand Rapids, MI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-24
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