LACEY JO LAKE

MUSCATINE, IA
NPI1043624083
Former NameLACEY JO MCFADDEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy247100000X Radiologic Technologist
(Licence: IA  11471)
Enumeration Date2014-06-18
Last Update Date2014-06-18
Business Address
-- LACEY JO LAKE
2114 PINEFIELD ST
MUSCATINE, IA 52761-2553
Phone number: 563-607-2372
Mailing Address
-- LACEY JO LAKE
2114 PINEFIELD ST
MUSCATINE, IA 52761-2553
Phone number: 563-607-2372