Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACEY JO LAKE
ActiveLACEY JO LAKE is a Radiologic Technologist healthcare provider located in MUSCATINE, Iowa. NPI 1043624083 is currently active in the NPPES registry. Verify at CMS.
Radiologic Technologist · MUSCATINE, IA
Registration Details
- NPI Number
- 1043624083
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2014 (11.967798261897 yrs)
- Last Updated
- Jun 18, 2014
- License
-
11471 (IA)
Practice Information
- Address
-
2114 PINEFIELD STMUSCATINE, IA, 527612553Browse IA providers · Browse ZIP 52761
- Phone
- 5636072372
- Primary Specialty
-
Radiologic Technologist
247100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.