DESMOND DE'VON LACY-BARKER (NPI# 1023577822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023577822 |
| Entity Type | Individual |
| Full Name | DESMOND DE'VON LACY-BARKER |
| Practice Address |
1102 Walton Ave Racine WI 53402-4549 |
| Practice Telephone | 2625987590 |
| Mailing Telephone | 2625987590 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | WI | Other Service Providers |
| Street Address |
1102 WALTON AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53402-4549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586847 | Jennifer Ann Wagener | Technician | 1513 Melvin Ave, Racine, WI 53402 | 2019-09-06 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1154852069 | Golden Path Services | Home Health | 1700 North Main Street, Upper, Racine, WI 53402 | 2017-03-22 |
| 1376842690 | Vashir Jim Xiong | Acupuncturist | 3726 Ruby Ave, Racine, WI 53402 | 2011-03-25 |
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1639286958 | Mary E Pagano | Internal Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-23 |
| 1881605111 | Caledonia Chiropractic Clinic, Sc | Chiropractor | 5401 Douglas Ave, Suite A, Racine, WI 53402 | 2006-08-11 |
| 1003923996 | David C Zablotney | Family Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-24 |
| Find all providers in zip 53402 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840576 | Harpreeet Singh Nagi | Driver | 8920 S Wood Creek Dr Apt 208, Oak Creek, WI 53154-7534 | 2020-10-27 |
| 1124654744 | Abdinaasir M Ali Sr. | Driver | 5151 S Howell Ave Ste H, Milwaukee, WI 53207-6179 | 2020-03-15 |
| 1164089991 | Heidi Catherine Puhl | Driver | 3484 S 22nd Rd, South Range, WI 54874-8849 | 2019-05-28 |
| 1962066134 | Yeng Xiong | Driver | 200 Mason St Ste 18, Onalaska, WI 54650-7061 | 2019-04-23 |
| 1518428721 | Vang Moua | Driver | 5950 N 74th St, Milwaukee, WI 53218-1830 | 2019-03-29 |
| 1164996195 | Omar A Mohamed | Driver | 450 N 33rd St Apt 2, Milwaukee, WI 53208-3854 | 2019-01-12 |
| 1194291831 | Glenn Martin Skattebo | Driver | 7684 N 51st St, Brown Deer, WI 53223-4353 | 2018-10-21 |
| 1801370994 | Jeremy Ajayi | Driver | 651 Schiller St Apt 212, Sun Prairie, WI 53590-2046 | 2018-09-24 |
| 1396227252 | Emonie S Patton | Driver | 4660 N 19th St, Milwaukee, WI 53209-6433 | 2018-09-06 |
| 1013496488 | Kenyari Maschon Brown | Driver | 2002 N 71st St, Milwaukee, WI 53213-1824 | 2018-08-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.