LACEY JO LAKE
NPI 1043624083
Radiologic Technologist in Muscatine, IA

Q: What is Lacey Lake's NPI number?

The NPI number for Lacey Lake is 1043624083. It was assigned to this individual provider in the NPPES registry on June 18, 2014. The provider is also known as Lacey Jo Mcfadden.

Q: What is Lacey Lake's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

Q: When was this NPI record last updated?

The NPPES record for Lacey Lake was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2014

2114 PINEFIELD ST, MUSCATINE, IA 52761(563) 607-2372 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lacey Jo Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY JO LAKE (NPI 1043624083) is an individual radiologic technologist in Muscatine, Iowa, licensed in Iowa (11471) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1043624083

Entity TypeIndividualFemale

Primary Taxonomy247100000X

Provider Legal NameLACEY JO LAKE

Location Address2114 PINEFIELD STMuscatine, IA 52761-2553

Mailing Address2114 Pinefield StMuscatine, IA 52761-2553 · (563) 607-2372

Phone(563) 607-2372

Sole ProprietorNo

Enumeration DateJune 18, 2014

✔ NPI 1043624083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247100000X

License✔ Licensed in IA · 11471

Definition

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

2114 PINEFIELD ST, Muscatine, IA 52761

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Other Names 1

Former Name (1)Lacey Jo Mcfadden

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Lake's NPI number?

The NPI number for Lacey Lake is 1043624083. It was assigned to this individual provider in the NPPES registry on June 18, 2014. The provider is also known as Lacey Jo Mcfadden.

Where is Lacey Lake located?

Lacey Lake practices at 2114 Pinefield St, Muscatine, IA 52761. The listed phone number is (563) 607-2372.

What is Lacey Lake's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

When was this NPI record last updated?

The NPPES record for Lacey Lake was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.