SearchIllinois152W00000X

Lacey Walk, O.D

NPI 1811322522 · on the registry since 2013

Practice

Address
10 Lincoln Hwy Ste 101
Fairview Heights, IL 62208
Phone
(618) 624-0222
Fax
(618) 624-4930
Organisation at this address
3f Vision Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-21

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 Illinois