Individual
DR. DESTINEE ELIZABETH LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3076 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-2210
(610) 850-9674
Mailing address
3076 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-2210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS039953
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS039953
PA
Other
Enumeration date
07/14/2016
Last updated
02/01/2023
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