LACEY J LAKE, Radiologic Technologist MUSCATINE, IA

Contact Information

LACEY J LAKE

2114 PINEFIELD ST
MUSCATINE, IA 52761-2553

Phone: 563-607-2372
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiologic Technologist	247100000X

Indicates primary specialty

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NPI Profile & details for LACEY J LAKE · (Female)

NPI #	`1043624083`
Status	Active
Credentials
Entity	Individual
Enumeration date	06/18/2014
Last updated	06/18/2014 - About 12 years ago
Sole proprietor ¹	No
Identifiers	IA License # 11471
Hospital affiliation(s)	Not Available

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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LACEY J LAKERadiologic Technologist

Contact Information

Specialty

Radiologic Technologist

NPI Profile & details for LACEY J LAKE · (Female)

Reviews for LACEY J LAKE

LACEY J LAKE
Radiologic Technologist