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Michael James Lacaze, DO
Family Medicine Physician in Prescott, Arizona
NPI 1003161035

Michael James Lacaze is a Family Medicine Physician based in Prescott, AZ. Michael James Lacaze practices in Prescott, AZ and has the professional credentials of DO. The NPI Number for Michael James Lacaze is 1003161035 and holds a License No. 5315064402 (Arizona).

The current practice location address for Michael James Lacaze is 1050 Gail Gardner Way Ste 300, Prescott, AZ and can be reached out via phone at 928-717-5232 and via fax at 928-717-5238.

Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ, 86304-0880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003161035
Provider Name
Michael James Lacaze
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1050 Gail Gardner Way Ste 300, Prescott, AZ, 86304-0880
Phone Number
928-717-5232
Fax Number
928-717-5238
Provider Enumeration Date
07/16/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z192483 05 AZ
006806 01 AZ AZ LICENSE
1003161035 05 MI
institution
Provider Business Practice Location Address Details
Address
1050 Gail Gardner Way Ste 300
City
Prescott
State
Arizona
Zip
86305-1640
Phone Number
928-717-5232
Fax Number
928-717-5238
person
Provider Business Mailing Address Details
Address
1050 Gail Gardner Way Ste 300
City
Prescott
State
Arizona
Zip
86305-1640
Phone Number
928-717-5232
Fax Number
928-717-5238
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5315064402 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5315064402 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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