Individual
KRISTEN LASOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.AC., L.AC.
Contact information
Practice address
2850 N RIDGE RD, SUITE107B, ELLICOTT CITY, MD 21043-3464
(443) 223-1576
Mailing address
5301 BRABANT RD, BALTIMORE, MD 21229-3130
(443) 223-1576
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01918
MD
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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