Doctor Name: | MICHAEL JAMES LACAZE |
NPI Number: | 1003161035 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 5315064402 |
Business Practice Address: | 5570 State St Saginaw, MI - 486033583 |
Business Phone Number: | 9895830100 |
Business Fax Number: | 9895830108 |
Mailing Address: | 1447 N Harrison St, SAGINAW |
State: | MI |
Postal Code: | 486024727 |
Phone Number: | 9895830100 |
Fax Number: | 9895830108 |
NPI Enumeration Date: | 07/16/2012 |
NPI Last Update Date: | 05/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 5315064402 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy 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. |