Lacey, Michael George
Lacey, Michael George is an individual health care provider with primary practice located at 333 W 89Th Ave Ste W5 , Merrillville IN 46410-7050. He recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Lacey, Michael George can be contacted via phone (219) 662-2279.Contact Information
Primary practice address
333 W 89Th Ave Ste W5
Merrillville IN 46410-7050
Phone: (219) 662-2279
Fax: (855) 742-9438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016005210 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X | 016005210 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 016005210 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 07001055A | Indiana |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 016005210 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016005210 | Illinois |
Profile Details
| NPI number | 1700882602 |
|---|---|
| LBN Legal business name | Lacey, Michael George |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Apr 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700882602 | NPPES |
| Illinois | Other | 0007131702 | AETNA |
| Illinois | MEDICAID | 200901510 | AETNA |
| Illinois | Other | 00002490663 05 | AETNA |
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