DR. SAMUEL J LACINA MD - NPI 1811091168 - Pediatrics in Grand Rapids, MI

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

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About Dr. Samuel J Lacina Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL J LACINA MD (NPI 1811091168) is an individual pediatric cardiology provider in Grand Rapids, Michigan, licensed in Michigan (4301036489) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1811091168

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameDR. SAMUEL J LACINACredential: MD

Location Address25 MICHIGAN ST NE, SUITE 4300Grand Rapids, MI 49503

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 267-9150

Fax(616) 267-1408

Sole ProprietorNo

Enumeration DateSeptember 8, 2006

Last NPPES UpdateFebruary 1, 20192 updates tracked since enumeration

✔ NPI 1811091168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in MI · 4301036489

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

25 MICHIGAN ST NE, Grand Rapids, MI 49503

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