Lacy Lakay Canzoneri

NPI #1447618970 in Allen Park, Michigan

Provider Information

NPI Number: 1447618970
Entity Type: Individual
Name: Lacy Lakay Canzoneri
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jan 28, 2016
Last Updated: Jan 28, 2016

Practice Location

Address: 16143 THOMAS AVE
City: Allen Park
State: Michigan
ZIP Code: 48101-1951
Phone: (313) 999-8142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other	246Z00000X
Technician, Other	247200000X	Primary

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