Lacey E Kraack in Sheboygan - Radiologic Technologist

Lacey E Kraack - NPI 1649468265

Lacey E Kraack is a Radiologic Technologist in Sheboygan, Wisconsin. Lacey E Kraack practices all healthcare services and medical treatments related to Radiologic Technologist. The NPI Number for Lacey E Kraack is 1649468265. The last update date is 2007-10-09.

Lacey E Kraack's current location address is 2629 N 7th St, Sheboygan, Wisconsin. You can contact this provider via phone number 9204515000. The mailing address for Lacey E Kraack is 2629 N 7th St, Sheboygan, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Lacey E Kraack
Address 2629 N 7th St, Sheboygan, Wisconsin
Phone Number 9204515000
Fax Number
Sole Proprietor N
Credentials RDMS, RVT,

NPI Number Detail

NPI Number 1649468265
Provider Enumeration Date 2007-10-09
Last Updated Date 2007-10-09

Provider Mailing Address Detail

Address 2629 N 7th St
City Sheboygan
State Wisconsin (WI)
Post Code 530834932
Phone Number 9204515000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Radiologic Technologist
Taxonomy 247100000X
Licence No 346578
Definition:
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

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FAQs about Lacey E Kraack

What is the unique identifier code issued to Lacey E Kraack by the Centers for Medicare & Medicaid Services?

The Lacey E Kraack has been assigned the NPI (National Provider Identifier) 1649468265. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Lacey E Kraack?

The Lacey E Kraack is situated at 2629 N 7Th St, in the city of Sheboygan, state of WI, with the zip code 530834932.

What is Lacey E Kraack's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lacey E Kraack's area of specialization is Radiologic Technologist, and the corresponding taxonomy code that categorizes this field of practice is 247100000X.

On what date did the Lacey E Kraack receive the assignment of its 1649468265 from the Centers for Medicare & Medicaid Services?

The Lacey E Kraack was issued its 1649468265 by the Centers for Medicare & Medicaid Services on 2007-10-09.

As of what date were the details related to Lacey E Kraack most recently updated or revised?

The information pertaining to Lacey E Kraack, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-09.

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