Individual provider · Type 1 NPI
Lacey Jo Lake
Radiologic Technologist · Muscatine, IA
NPI number
1043624083
Active
Practice location
2114 Pinefield St
Muscatine, IA 52761-2553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiologic Technologist Primary | 247100000X | 11471 (IA) |
Radiologic Technologist: A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
About NPI 1043624083
Lacey Jo Lake's National Provider Identifier is 1043624083, issued on Jun 18, 2014. The primary taxonomy on file is Radiologic Technologist (247100000X), and the practice location is in Muscatine, IA. The record was last updated on Jun 18, 2014.