MEDICARE: LACEY WOOD M.D.

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	207V00000X	Obstetrics & Gynecology Physician	4301110649	MI
2	207V00000X	Obstetrics & Gynecology Physician	35.140153	OH

General Provider Information

NPI Number	:	1821449513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LACEY WOOD M.D.

Provider Business Mailing Address
First Line	:	3170 KETTERING BLVD BLDG B
Second Line	:
City	:	MORAINE
State	:	OH
Zip	:	45439-1924
Country	:	US
Telephone Number	:	937-991-3188
Fax Number	:	937-223-9811

Provider Business Practice Location Address
First Line	:	1 WYOMING ST STE 3100
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45409-2722
Country	:	US
Telephone Number	:	379-208-4110
Fax Number	:	937-208-2139

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

Provider Enumeration Date	:	06/24/2016
Last Update Date	:	12/18/2025

Similar Medicare Providers

1528737376 — JOHN RUSSELL KLENS PA-C
Practice Location Address:

1 WYOMING ST
DAYTON, OH
45409-2722

Practice Phone: 937-208-3356
Practice Fax:

1972519866 — MRS. DIANA CAROLE BLAIR CRNA
Practice Location Address:

1 WYOMING ST
DAYTON, OH
45409-2722

Practice Phone: 937-208-4380
Practice Fax:

1124541636 — JENNIFER A SMITH OB GYN LLC
Practice Location Address:

1 WYOMING ST STE 4110
DAYTON, OH
45409-2722

Practice Phone: 937-208-5665
Practice Fax: 937-208-5669

1235134180 — CHRISTOPHER SCOTT CROOM MD
Practice Location Address:

1 WYOMING ST , BERRY BLDG, GROUND FL
DAYTON, OH
45409-2722

Practice Phone: 937-208-2516
Practice Fax: 937-208-6124

1023013976 — JIRI DAVID SONEK MD
Practice Location Address:

1 WYOMING ST , BERRY BLDG, GROUND FL
DAYTON, OH
45409-2722

Practice Phone: 937-208-2516
Practice Fax: 937-208-6124

1578568424 — DAVID STEPHEN MCKENNA MD
Practice Location Address:

1 WYOMING ST , BERRY BLDG, GROUND FL
DAYTON, OH
45409-2722

Practice Phone: 937-208-2516
Practice Fax: 937-208-6124

Directions to “ LACEY WOOD M.D.” 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.