Individual provider · Type 1 NPI

Martin S. Lacey, MD

Plastic and Reconstructive Surgery Physician · St. Paul, MN

NPI number 1821064288 Active

Practice location

640 Jackson St, Mc 11503B
St. Paul, MN 55101-2502

Call (651) 254-3792 Map

Fax (651) 254-8208

Mailing address

8100 34th Ave S, Mail Stop 21110Q
Bloomington, MN 55425-1672

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X44353 (MN)
Plastic and Reconstructive Surgery Physician 2086S0122X45762 (WI)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1821064288

Martin S. Lacey, MD's National Provider Identifier is 1821064288, issued on Feb 27, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in St. Paul, MN. The record was last updated on Oct 23, 2012.