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Lacey Jo Lake

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NPI Number Detailed Information

Provider Information:

Name: Lacey Jo Lake
Gender: F
Provider License Number If Given: 11471

NPI Information:

NPI: 1043624083
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/18/2014

Last Update Date: 6/18/2014

Provider Business Mailing Address:

Address: 2114 PINEFIELD ST
Muscatine, IA 52761
Phone Number: 5636072372
Fax Number:

Provider Business Practice Location Address:

Address: 2114 PINEFIELD ST
Muscatine, IA 52761
Phone Number: 5636072372
Fax Number:

Provider Taxonomy:

Primary: 247100000X
Secondary (if any):
State: IA

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About Lacey Jo Lake

Lacey Jo Lake ( LACEY JO LAKE ) is An Radiologic Technologist Physician in Muscatine, IA. The NPI Number for Lacey Jo Lake is 1043624083.
The current location address for Lacey Jo Lake is 2114 PINEFIELD ST Muscatine, IA 52761 and the contact number is 5636072372 and fax number is . The mailing address for Lacey Jo Lake is 2114 PINEFIELD ST Muscatine, IA 52761- 5636072372 (mailing address contact number - 5636072372).
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Provider Business Location on Map

FAQs:

What is the NPI Number for Lacey Jo Lake ?


Answer: The NPI Number for Lacey Jo Lake is 1043624083

Where is Lacey Jo Lake located?


Answer: Lacey Jo Lake is located at 2114 PINEFIELD ST Muscatine, IA 52761.

What is the specialty for Lacey Jo Lake ?


Answer: The Specialty of Lacey Jo Lake is An Radiologic Technologist Physician.

Are there any online reviews for Lacey Jo Lake ?


Answer: Not yet!

Are there any other health care providers in Muscatine, IA?


Answer: Yes, there are given below...

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