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Individual

MS. DEIRDRE MICHELLE LACY-HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RT

Contact information

Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
Mailing address
1727 JOFFRE AVE, TOLEDO, OH 43607-1613
(419) 536-8041

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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