MICHAEL ROGER LACE

BRONX, NY
NPI1578693040
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  009906)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
Mr. MICHAEL ROGER LACE PA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-5795
Mailing Address
Mr. MICHAEL ROGER LACE PA
49 IROQUOIS DR
BRIGHTWATERS, NY 11718-1210
Phone number: 516-380-7088
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