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Lacey Lake
NPI 1043624083 · on the registry since 2014
Practice
- Address
- 2114 Pinefield St
Muscatine, IA 52761 - Phone
- (563) 607-2372
Registry record
- Primary taxonomy
- 247100000X
247100000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa