Most Relevant Information
Provider Data
| NPI Number: | 1003831579 |
| Provider Name: | MICHAEL E LACEY DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 6083 |
Most Important Dates
| Enumeration Date: | 07/13/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2565 CAL YOUNG RD
EUGENE
OR
97401
Practice Location Phone/Fax
| Phone: | 5416861197 |
| Fax: | 5416860445 |
Provider Mailing Location
2565 CAL YOUNG RD
EUGENE
OR
97401
Provider Mailing Phone/Fax
| Phone: | 5416861197 |
| Fax: | 5416860445 |