Lake, Lacey Jo
Lake, Lacey Jo is an individual health care provider with primary practice located at 2114 Pinefield St , Muscatine IA 52761-2553. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as her primary health care specialty. Lake, Lacey Jo can be contacted via phone (563) 607-2372.Contact Information
Primary practice address
2114 Pinefield St
Muscatine IA 52761-2553
Phone: (563) 607-2372
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist | 247100000X | 11471 | Iowa |
Profile Details
| NPI number | 1043624083 |
|---|---|
| LBN Legal business name | Lake, Lacey Jo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2014 |
| Last updated | Jun 18th, 2014 - about 10 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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