MEDICARE: LACEY SUSAN THOMAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175M00000X	Lay Midwife

General Provider Information

NPI Number	:	1083213870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LACEY SUSAN THOMAS

Provider Business Mailing Address
First Line	:	3270 WHEELER HWY
Second Line	:
City	:	CLAYTON
State	:	MI
Zip	:	49235-9728
Country	:	US
Telephone Number	:	517-448-0454
Fax Number	:

Provider Business Practice Location Address
First Line	:	3270 WHEELER HWY
Second Line	:
City	:	CLAYTON
State	:	MI
Zip	:	49235-9728
Country	:	US
Telephone Number	:	517-448-0454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2020
Last Update Date	:	10/22/2020

Similar Medicare Providers

1093367914 — SARAH BROOKE HONALD LCSW
Practice Location Address:

146 WILLOWBROOK CIR
CLAYTON, NC
27527-9728

Practice Phone: 910-601-2754
Practice Fax: 910-601-2754

1225162621 — STEPHANIE MAY YOUNGLOVE L.L.P
Practice Location Address:

11609 CARLETON RD
CLAYTON, MI
49235-9731

Practice Phone: 517-662-5084
Practice Fax:

1447628730 — MS. DAWN MARIE NIGHTINGALE R.N. B.S.N
Practice Location Address:

2101 GLEN HILL HWY
CLAYTON, MI
49235-9673

Practice Phone: 517-263-8905
Practice Fax:

1033561964 — ERIKA L BEHM LLMSW
Practice Location Address:

10969 S CHURCH ST
CLAYTON, MI
49235-9760

Practice Phone: 734-660-8673
Practice Fax:

1447705199 — JOSEPH CLEARY
Practice Location Address:

11844 CARLETON RD
CLAYTON, MI
49235-9731

Practice Phone: 906-250-1747
Practice Fax:

1417675125 — SHAAN FIROZA BOYD
Practice Location Address:

8611 TOMER RD
CLAYTON, MI
49235-9710

Practice Phone: 313-659-8469
Practice Fax:

Directions to “ LACEY SUSAN THOMAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.