NPI 1023577822

Desmond De'Von Lacy-Barker

Practitioner Driver Racine, WI

Practice location

Address: 1102 Walton Ave, Racine, WI 53402-4549
Phone: (262) 598-7590

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1023577822
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2019
Record last updated: 19 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.