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Individual

MS. LISA DECATORSMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOM, LAC

Contact information

Practice address
509 W MAIN ST, BARRINGTON, IL 60010-6827
(847) 381-6400
Mailing address
509 W MAIN ST, BARRINGTON, IL 60010-6827
(847) 381-6400

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000434
IL

Other

Enumeration date
08/10/2016
Last updated
08/10/2016
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