JACEY LEPAGE, M.D.
Surgery - Trauma Surgery
Active
Individual
NPI: 1790166494
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery - Trauma Surgery | 2086S0127X | Yes | 01086554A (IN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | 4301107377 (MI) |
Frequently Asked Questions
NPI 1790166494 is the National Provider Identifier for JACEY LEPAGE, M.D., a Surgery - Trauma Surgery provider located in Detroit, MI. This NPI was enumerated on June 18, 2015.
JACEY LEPAGE, M.D. practices at 22101 MOROSS RD, Detroit, MI 48236.
Quick Facts
- NPI
- 1790166494
- Type
- Individual
- Enumerated
- Jun 18, 2015
- Last Updated
- Oct 12, 2021
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