What is Lacey Lake's NPI number?

Lacey Lake's National Provider Identifier (NPI) is 1043624083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Lacey Lake's specialty?

Lacey Lake is listed in the NPPES registry with a primary specialty of Radiologic Technologist (Technologists, Technicians & Other Technical Service Providers).

Where is Lacey Lake located?

Lacey Lake's practice location on file with NPPES is 2114 Pinefield St, Muscatine, IA 52761-2553.

What is Lacey Lake's phone number?

The practice phone number listed in the NPPES registry for Lacey Lake is (563) 607-2372.

Is Lacey Lake's NPI active?

Yes — Lacey Lake's NPI (1043624083) is active in the NPPES registry as of the last update on 2014-06-18.

IndividualActive

Lacey Lake

NPI 1043624083 · Radiologic Technologist · Muscatine, IA

Lacey Lake is a Radiologic Technologist provider in Muscatine, IA (NPI 1043624083).

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

Radiologic TechnologistPrimary247100000XLicense 11471 (IA)
Technologists, Technicians & Other Technical Service Providers

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2114 Pinefield St

Muscatine, IA 52761-2553

Phone: (563) 607-2372

Street-level locationGet directions

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Mailing address