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Desmond De'von Lacy-barker
Driver in Racine, Wisconsin
NPI 1023577822

Desmond De'von Lacy-barker is a Driver based in Racine, WI. Desmond De'von Lacy-barker practices in Racine, WI. The NPI Number for Desmond De'von Lacy-barker is 1023577822 and holds a License No. (Wisconsin).

The current practice location address for Desmond De'von Lacy-barker is 1102 Walton Ave, Racine, WI and can be reached out via phone at 262-598-7590.

Location: 1102 Walton Ave, Racine, WI, 53402-4549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023577822
Provider Name
Desmond De'von Lacy-barker
Credential
Provider Entity Type
Individual
Gender
Male
Address
1102 Walton Ave, Racine, WI, 53402-4549
Phone Number
262-598-7590
Fax Number
Provider Enumeration Date
03/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1102 Walton Ave
City
Racine
State
Wisconsin
Zip
53402-4549
Phone Number
262-598-7590
Fax Number
person
Provider Business Mailing Address Details
Address
1102 Walton Ave
City
Racine
State
Wisconsin
Zip
53402-4549
Phone Number
262-598-7590
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
(Wisconsin)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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