MICHAEL JAMES LACAZE

PRESCOTT, AZ
NPI1003161035
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  006806)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MI  5315064402)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  5315064402)
Enumeration Date2012-07-16
Last Update Date2022-12-05
Business Address
MICHAEL JAMES LACAZE DO
1050 GAIL GARDNER WAY STE 300
PRESCOTT, AZ 86305-1640
Phone number: 928-717-5232
Mailing Address
MICHAEL JAMES LACAZE DO
PO BOX 10880
PRESCOTT, AZ 86304-0880
Phone number: 928-759-5987