Individual
DR. ERIN MICHELLE LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
955 31ST STREET, MARION, IA 52302
(319) 377-4867
Mailing address
955 31ST STREET, MARION, IA 52302
(319) 377-4867
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8022
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1195248
—
IA
Enumeration date
09/11/2006
Last updated
09/19/2012
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