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Individual
MS. DEIRDRE MICHELLE LACY-HUNTER
Active
Individual
MS. DEIRDRE MICHELLE LACY-HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
256240
MN
247100000X
Radiologic Technologist
97527
TX
247100000X
Radiologic Technologist
MRT5368
MS
247100000X
Radiologic Technologist
R8866066
OH
247100000X
Radiologic Technologist
RAD02210
RI
247100000X
Radiologic Technologist
RHM00096687
CA
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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