Dr Dana Robert Lacey, MD is a
Radiology - Body Imaging physician based in Groton, Connecticut. Dr Dana Robert Lacey is licensed to practice in Oklahoma (license number 28293) and his current practice location is 1 Wahoo Ave, Groton, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 694-2435.
NPI number for Dr Dana Robert Lacey is 1952372971 and his current mailing address is 1 Wahoo Ave, Groton, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952372971.
Physician's Profile
| Full Name | Dr Dana Robert Lacey |
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| Gender | Male |
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| Speciality | Radiology - Body Imaging |
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| Location | 1 Wahoo Ave, Groton, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952372971
- Provider Enumeration Date: 01/28/2006
- Last Update Date: 10/14/2020
Medical Identifiers
Medical identifiers for Dr Dana Robert Lacey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952372971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085B0100X | Radiology - Body Imaging | 9901 (Hawaii) | Secondary |
| 2085B0100X | Radiology - Body Imaging | G82305 (California) | Secondary |
| 2085B0100X | Radiology - Body Imaging | 28293 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dana Robert Lacey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Dana Robert Lacey, MD 1 Wahoo Ave, Groton, CT 06349-2324 Ph: (860) 694-2435 | Dr Dana Robert Lacey, MD 1 Wahoo Ave, Groton, CT 06349-2324 Ph: (860) 694-2435 |
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