Martin S Lacey in Bloomington - Plastic And Reconstructive Surgery

Martin S Lacey - NPI 1821064288

Martin S Lacey is a Plastic And Reconstructive Surgery in Bloomington, Minnesota. Martin S Lacey practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Martin S Lacey is 1821064288. The last update date is 2012-10-23.

Martin S Lacey's current location address is 8100 34th Ave S, Bloomington, Minnesota. You can contact this provider via phone number 9528835463 and fax number 9528835395. The mailing address for Martin S Lacey is 8100 34th Ave S, Bloomington, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Martin S Lacey
Address 8100 34th Ave S, Bloomington, Minnesota
Phone Number 9528835463
Fax Number 9528835395
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1821064288
Provider Enumeration Date 2006-02-27
Last Updated Date 2012-10-23

Provider Mailing Address Detail

Address 8100 34th Ave S
City Bloomington
State Minnesota (MN)
Post Code 554251672
Phone Number 9528835463
Fax Number 9528835395

Provider's Primary Taxonomy Detail

Speciality Plastic And Reconstructive Surgery
Taxonomy 2086S0122X
Licence No 44353
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
322800200 MN --

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FAQs about Martin S Lacey

What is the unique identifier code issued to Martin S Lacey by the Centers for Medicare & Medicaid Services (CMS)?

The Martin S Lacey has been assigned the NPI (National Provider Identifier) 1821064288. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Martin S Lacey is geographically located?

The Martin S Lacey is physically situated at the following location: 8100 34Th Ave S, Bloomington, MN, 554251672.

What is Martin S Lacey's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Martin S Lacey is Plastic And Reconstructive Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0122X.

On what date did Martin S Lacey receive its 1821064288 assignment from the Centers for Medicare & Medicaid Services?

The Martin S Lacey was assigned its 1821064288 on 2006-02-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Martin S Lacey most recently updated or refreshed?

The details pertaining to the Martin S Lacey, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-23.

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