Individual
DR. LACEY DETTMERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
116 1ST AVE N UNIT B, ALTOONA, IA 50009-1402
(515) 468-8904
Mailing address
1476 SE 82ND ST, RUNNELLS, IA 50237-2235
(515) 468-8904
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
075101
IA
Other
Enumeration date
09/04/2014
Last updated
10/08/2014
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