National Provider Identifier Database

LACEY J LAKE
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

LACEY J LAKE
2114 PINEFIELD ST
MUSCATINE, IA52761-2553
Phone: 563-607-2372
Fax:
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for LACEY J LAKE

NPI Number 1043624083
Credentials
Entity Individual
Enumeration date 06/18/2014
Last updated 06/18/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • IA License #: 11471
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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