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Individual

MRS. LAURENCE CECILE BOUCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC

Contact information

Practice address
54 WOODLAND DR, OYSTER BAY, NY 11771-4108
(516) 624-8105
(516) 624-8105
Mailing address
54 WOODLAND DR, OYSTER BAY, NY 11771-4108
(516) 624-8105
(516) 624-8105

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003889
NY

Other

Enumeration date
04/03/2013
Last updated
04/03/2013
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