| Sarah Lacy, MD | |
|
990 W Ann Arbor Trl Ste 210, Plymouth, MI 48170-6202 | |
| (734) 554-6004 | |
| (734) 455-5637 |
| Full Name | Sarah Lacy |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 990 W Ann Arbor Trl Ste 210, Plymouth, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811023617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301081675 (Michigan) | Primary |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Lacy, MD 24 Frank Lloyd Wright Dr, Po Box 0446 Lobby J, Ann Arbor, MI 48105-9484 Ph: (734) 327-0872 | Sarah Lacy, MD 990 W Ann Arbor Trl Ste 210, Plymouth, MI 48170-6202 Ph: (734) 554-6004 |
Dr. Tarin Gitlin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170 Phone: 734-455-4600 Fax: 734-455-5637 | |
James Sansone, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170 Phone: 734-455-4600 Fax: 734-455-5637 | |
Dr. Lorri Vanderroest, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170 Phone: 734-455-4600 Fax: 734-455-5637 | |
Dr. Mary Alonzi, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9365 N Haggerty Rd, Plymouth, MI 48170 Phone: 734-459-9260 | |
David Tobin, Pediatrics Medicare: Medicare Enrolled Practice Location: 990 W Ann Arbor Trl Ste 210, Plymouth, MI 48170 Phone: 734-455-4600 Fax: 734-455-5637 | |
Kimberly Meisenhelder, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170 Phone: 734-455-4600 Fax: 734-455-5637 | |
Nancy Spangler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170 Phone: 734-455-4600 Fax: 734-455-5637 |