Lacey E. Kraack, RDMS, RVT, RT(R)

Sonography Radiologic Technologist · Sheboygan, WI

Individual Active NPI

NPI number 1649468265

Practice location

2629 N 7TH St
Sheboygan, WI 53083-4932
Phone
(920) 451-5000

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NPI record

NPI
1649468265
Entity type
Individual (Type 1)
Enumeration date
October 9, 2007
Last updated
October 9, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Sonography Radiologic Technologist Primary 2471S1302X 94755 —
Radiologic Technologist 247100000X 346578 —
Vascular Sonography Radiologic Technologist 2471V0105X 94755 —

Mailing address

PO Box 63
Lake Huntington, NY 12752-0063
Phone
(210) 573-3327

About Lacey Kraack

Lacey E. Kraack, RDMS, RVT, RT(R) is a healthcare provider registered in the NPI registry with the primary taxonomy Sonography Radiologic Technologist (code 2471S1302X). The practice location is 2629 N 7TH St, Sheboygan, WI 53083-4932. The NPI number 1649468265 was assigned on October 9, 2007 and the record was last updated on October 9, 2007.

Lacey Kraack lists 3 licenses in the registry: #94755 for Sonography Radiologic Technologist; #346578 for Radiologic Technologist; #94755 for Vascular Sonography Radiologic Technologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lacey E. Kraack, RDMS, RVT, RT(R)?

The NPI number is 1649468265.

What is the phone number of Lacey Kraack?

The phone number listed for the practice location is (920) 451-5000.

Where is Lacey Kraack located?

2629 N 7TH St, Sheboygan, WI 53083-4932.

What is the taxonomy code for Lacey Kraack?

The primary taxonomy code is 2471S1302X – Sonography Radiologic Technologist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.