NPI 1649468265

Lacey E Kraack, RDMSRVTRTR

Practitioner Sonography Radiologic Technologist Sheboygan, WI

Practice location

Address: 2629 N 7th St, Sheboygan, WI 53083-4932
Phone: (920) 451-5000
Mailing address: PO Box 63, Lake Huntington, NY 12752-0063

Registered specialties (3)

Sonography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471S1302X Licence 94755

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Registry record

NPI: 1649468265
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Oct 2007
Record last updated: 9 Oct 2007

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.