NPI 1003161035

Michael James Lacaze, DO

Practitioner Family Medicine Physician Prescott, AZ

Practice location

Address: 1050 Gail Gardner Way STE 300, Prescott, AZ 86305-1640
Phone: (928) 717-5232
Fax: (928) 717-5238
Mailing address: PO Box 10880, Prescott, AZ 86304-0880

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 006806 (AZ)

Other Family Medicine providers in Arizona →

Registry record

NPI: 1003161035
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2012
Record last updated: 17 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.