| Lacy Medical Group Inc | |
|
393 Vanadium Rd Pittsburgh PA 15243-1427 | |
| (412) 805-3812 | |
| Not Available |
| Full Name | Lacy Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 393 Vanadium Rd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Michael T Trombley (CEO) |
| Authorized Official Contact | 4128053812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacy Medical Group Inc 393 Vanadium Rd Pittsburgh PA 15243-1427 Ph: () - | Lacy Medical Group Inc 393 Vanadium Rd Pittsburgh PA 15243-1427 Ph: (412) 805-3812 |
| NPI Number | 1407081177 |
|---|---|
| Provider Enumeration Date | 05/23/2009 |
| Last Update Date | 05/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407081177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD427067 (Pennsylvania) | Primary |
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