Mr. Michael Roger Lace, PA
Mr. Michael Roger Lace, PA is a Physician Assistant in Bronx, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
111 E 210th StBronx, NY 10467-2401
Phone: (718) 920-5795
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 009906 (NY) |
|---|
Record details
| NPI number | 1578693040 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | March 6, 2007 |
| Last updated in NPPES | July 8, 2007 |
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1065 Southern Blvd, Bronx, NY 10459-2417 · (718) 589-2440
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3424 Kossuth Ave, Bronx, NY 10467-2410 · (718) 519-3928