Lacey, Dana Robert

Lacey, Dana Robert is an sole proprietor health care provider with primary practice located at 1 Wahoo Ave , Groton CT 06349-2324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Lacey, Dana Robert can be contacted via phone (860) 694-2435.

Contact Information

Primary practice address
1 Wahoo Ave Groton CT 06349-2324
Phone: (860) 694-2435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 9901 Hawaii
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X G82305 California
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 28293 Oklahoma

Profile Details

NPI number 1952372971
LBN Legal business name Lacey, Dana Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2006
Last updated Oct 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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