Individual
DR. LACEY S. HAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4561 MAINE ST, QUINCY, IL 62305-5851
(217) 228-1085
(217) 228-1089
Mailing address
4561 MAINE ST, QUINCY, IL 62305-5851
(217) 228-1085
(217) 228-1089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027989
IL
Other
Enumeration date
06/17/2009
Last updated
06/16/2020
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