NPI Lookup
NPPES Search
Providers by State
Blog
Home
1043624083
LACEY JO LAKE
MUSCATINE, IA
NPI
1043624083
Copy
Former Name
LACEY JO MCFADDEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247100000X Radiologic Technologist
(Licence: IA 11471)
Enumeration Date
2014-06-18
Last Update Date
2014-06-18
Business Address
-- LACEY JO LAKE
2114 PINEFIELD ST
MUSCATINE, IA 52761-2553
Phone number: 563-607-2372
Copy
Mailing Address
-- LACEY JO LAKE
2114 PINEFIELD ST
MUSCATINE, IA 52761-2553
Phone number: 563-607-2372
Copy