Individual
MARY STEPHANIE LACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.
Contact information
Practice address
5717 DEREK AVE, SARASOTA, FL 34233-2413
(941) 926-2909
Mailing address
PO BOX 38, ANNA MARIA, FL 34216-0038
(941) 779-8952
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2832
FL
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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