Provider Demographics
NPI:1619547205
Name:LACE CONSULTING LLC
Entity Type:Organization
Organization Name:LACE CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED PROFESSIONAL CODER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAKIESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:313-600-0099
Mailing Address - Street 1:18440 MIDWAY AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-7139
Mailing Address - Country:US
Mailing Address - Phone:248-730-1740
Mailing Address - Fax:
Practice Address - Street 1:18440 MIDWAY AVE
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-7139
Practice Address - Country:US
Practice Address - Phone:248-730-1740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service