Lacey Jo Lake
Lacey Jo Lake is a Radiologic Technologist in Muscatine, Iowa. Licensed in Iowa. Registered with an NPI since 2014.
- Licensed in
- IA
- In the registry since
- 2014
Practice location Address checks out
2114 Pinefield StMuscatine, IA 52761-2553
Phone: (563) 607-2372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Radiologic Technologist (primary) | Taxonomy 247100000X · Licence 11471 (IA) |
|---|
Record details
| NPI number | 1043624083 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 18, 2014 |
| Last updated in NPPES | June 18, 2014 |
| Mailing address | 2114 Pinefield St, Muscatine, IA 52761-2553 |