Individual
STEPHANIE LAZCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
308 W ERIE ST STE 100, CHICAGO, IL 60654-3914
(312) 877-5155
Mailing address
29W114 BARNES AVE, WEST CHICAGO, IL 60185-3631
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001643
IL
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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