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Contact Information

MICHAEL G LACEY, DPM
333 W 89TH AVE STE W5
MERRILLVILLE, IN46410-7050
 Phone: 219-662-2279
 Fax: 855-742-9438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Public Health

213EP0504X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MICHAEL G LACEY · (Male)

NPI # 1700882602
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/24/2005
Last updated 04/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 016005210
  • IN License # 07001055A
  • IN Medicaid 200901510
  • IL Other 0007131702 AETNA
  • IL Other 00002490663 05 UNITED HEALTHCARE
Hospital affiliation(s)
  • COMMUNITY HOSPITAL - (Acute Care)
    901 MACARTHUR BLVD
    MUNSTER, IN 46321
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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