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Individual
DR. STEPHANIE SUSAN LACEY
Active
Individual
DR. STEPHANIE SUSAN LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C., DIPL. ACUP.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007426
IL
171100000X
Acupuncturist
198-00375
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022-05753
BC/BS
IL
01
—
318-6170
CIGNA
IL
01
—
350044698
RAILROAD MEDICARE
IL
01
—
5538693
AENTA
IL
Enumeration date
10/02/2006
Last updated
04/25/2012
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