# MICHELLE RACINE LAC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831635499
- **Authorized official:** MICHELLE RACINE L.AC. (OWNER)
- **Authorized official phone:** (603) 502-4629

## Contact information

- **Practice address:** 24 CHURCH ST, WATERTOWN, MA 02472-3851
- **Practice address phone:** (603) 502-4629
- **Mailing address:** 52 HARVARD AVE, MEDFORD, MA 02155-3505
- **Mailing address phone:** (603) 502-4629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 268874 | MA | Yes |

## Other

- **Enumeration date:** 01/06/2017
- **Last updated:** 01/06/2017