Individual
LACEY RANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1400 SW HUNTOON ST, TOPEKA, KS 66604-1231
(785) 861-8800
(785) 478-5991
Mailing address
1400 SW HUNTOON ST, TOPEKA, KS 66604-1231
(785) 861-8800
(785) 478-5991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61248
KS
1223G0001X
General Practice Dentistry
8454
SC
Other
Enumeration date
10/15/2014
Last updated
04/28/2020
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