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1568779338
KYLE WILLIAM LACY
DETROIT, MI
NPI
1568779338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MI 4301097292)
Enumeration Date
2010-09-01
Last Update Date
2010-09-01
Business Address
Dr. KYLE WILLIAM LACY M.D.
4201 ST. ANTOINE UHC 6D5.5
DETROIT, MI 48201
Phone number: 313-966-8013
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Mailing Address
Dr. KYLE WILLIAM LACY M.D.
724 YORK ST
PLYMOUTH, MI 48170-1483
Phone number: 949-257-6183
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