IndividualActive
Lacey Lake
NPI 1043624083 · Radiologic Technologist · Muscatine, IA
Provider details
- NPI number
- 1043624083
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 11471 (IA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2114 Pinefield St
Muscatine, IA 52761-2553
Phone: (563) 607-2372
Approximate (ZIP-level) locationGet directions
Mailing address
2114 Pinefield St
Muscatine, IA 52761-2553
Registry dates
- Enumerated
- 2014-06-18
- Last updated
- 2014-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.