Individual
KEITH F LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1948 1ST AVE NE, CEDAR RAPIDS, IA 52402-5321
(319) 364-0121
Mailing address
1948 1ST AVE NE, CEDAR RAPIDS, IA 52402-5321
(319) 364-0121
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18704
IA
Other
Enumeration date
12/29/2005
Last updated
01/18/2013
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