Lacey, Joanne L.

Lacey, Joanne L. is an individual health care provider with primary practice located at 108 Frontenac Frst , Saint Louis MO 63131-3218. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Lacey, Joanne L. can be contacted via phone (314) 497-2368.

Contact Information

Primary practice address
108 Frontenac Frst Saint Louis MO 63131-3218
Phone: (314) 497-2368
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 2004001646 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2004001646 Missouri

Profile Details

NPI number 1508950841
LBN Legal business name Lacey, Joanne L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 9th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508950841 NPPES
Missouri MEDICAID 209014307

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