Lacey, David Lawrence
Lacey, David Lawrence is an individual health care provider with primary practice located at 12368 Stratford Dr Suite 300, Clive IA 50325-8162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Lacey, David Lawrence can be contacted via phone (515) 226-9810.Contact Information
Primary practice address
12368 Stratford Dr Suite 300
Clive IA 50325-8162
Phone: (515) 226-9810
Fax: (515) 226-8408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 32479 | Iowa |
Profile Details
| NPI number | 1043277247 |
|---|---|
| LBN Legal business name | Lacey, David Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043277247 | NPPES |
| Iowa | MEDICAID | 3189886 |
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