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Lacey Jo Lake
Radiologic Technologist in Muscatine, Iowa
NPI 1043624083

Lacey Jo Lake is a Radiologic Technologist based in Muscatine, IA. Lacey Jo Lake practices in Muscatine, IA. The NPI Number for Lacey Jo Lake is 1043624083 and holds a License No. 11471 (Iowa).

The current practice location address for Lacey Jo Lake is 2114 Pinefield St, Muscatine, IA and can be reached out via phone at 563-607-2372. You can also correspond with Lacey Jo Lake through the mailing address at 2114 PINEFIELD ST, MUSCATINE, IA - 52761-2553 (mailing address contact number: 563-607-2372).

Location: 2114 Pinefield St, Muscatine, IA, 52761-2553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043624083
Provider Name
Lacey Jo Lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
2114 Pinefield St, Muscatine, IA, 52761-2553
Phone Number
563-607-2372
Fax Number
Provider Enumeration Date
06/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2114 Pinefield St
City
Muscatine
State
Iowa
Zip
52761-2553
Phone Number
563-607-2372
Fax Number
person
Provider Business Mailing Address Details
Address
2114 Pinefield St
City
Muscatine
State
Iowa
Zip
52761-2553
Phone Number
563-607-2372
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
247100000X
License No.
11471 (Iowa)
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
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