DR. DANIEL ARTHUR LACE


Address: 5n445 Billy Burns Rd, Box 449, Wayne, IL 60184-2116
Phone: 6305131608

DR. DANIEL ARTHUR LACE (NPI# 1518236561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518236561
Entity Type Individual
Full Name DR. DANIEL ARTHUR LACE
Credential M.D.
Practice Address 5n445 Billy Burns Rd
Box 449
Wayne
IL 60184-2116
Mailing Address 5n445 Billy Burns Rd
P.o. Box 449
Wayne
IL 60184-2116
Practice Telephone 6305131608
Practice Fax Number 6305131882
Mailing Telephone 6305131608
Mailing Fax Number 6305131882
Enumeration Date 2011-12-20
Last Update Date 2011-12-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 036075927 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 5N445 BILLY BURNS RD
BOX 449
City WAYNE
State IL
Zip Code 60184-2116

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City WAYNE
Zip Code 60184

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Dataset Information

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.

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