Tyler Lacey, M.D. is a student in an organized health care education training program in St Louis Park, MN with 7 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Tyler Lacey, M.D. NPI is 1255866877. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2017
The provider's business location address is:
6600 EXCELSIOR BLVD
STE. 160
ST LOUIS PARK, MN
ZIP 55426-744
Phone: (952) 993-7705
The NPI 1255866877 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/21/2017 and was last updated on 4/21/2017.