person
Martin S Lacey, MD
Plastic and Reconstructive Surgery Physician in Saint Paul, Minnesota
NPI 1821064288

Martin S Lacey is a Plastic and Reconstructive Surgery Physician based in Bloomington, MN and is specialized in Plastic and Reconstructive Surgery. Martin S Lacey practices in Saint Paul, MN and has the professional credentials of MD. The NPI Number for Martin S Lacey is 1821064288 and holds a License No. 44353 (Minnesota).

The current practice location address for Martin S Lacey is 640 Jackson St, Saint Paul, MN and can be reached out via phone at 651-254-3792 and via fax at 651-254-8208.

Location: 640 Jackson St, Saint Paul, MN, 55425-1672
person
Provider Profile Details
NPI Number
1821064288
Provider Name
Martin S Lacey
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
640 Jackson St, Saint Paul, MN, 55425-1672
Phone Number
651-254-3792
Fax Number
651-254-8208
Provider Enumeration Date
02/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
322800200 05 MN
institution
Provider Business Practice Location Address Details
Address
640 Jackson St
City
State
Zip
55101-2502
Phone Number
651-254-3792
Fax Number
651-254-8208
person
Provider Business Mailing Address Details
Address
640 Jackson St
City
State
Zip
55101-2502
Phone Number
651-254-3792
Fax Number
651-254-8208
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
44353 (Minnesota)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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