Individual
LACI MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1936 N 11TH ST, BISMARCK, ND 58501-1914
(701) 258-0029
(701) 258-0826
Mailing address
1936 N 11TH ST, BISMARCK, ND 58501-1914
(701) 258-0029
(701) 258-0826
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
782
ND
Other
Enumeration date
09/06/2006
Last updated
12/18/2012
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