Individual
LACEY L MCDEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2315 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404-3392
(319) 396-3282
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08549
IA
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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