Organization
DR. STEPHANIE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE LACEY DIPL., ACUP. LIC. AC (MANAGING MEMBER)
(630) 961-2893
Entity
Organization
Contact information
Practice address
148 N WASHINGTON ST, NAPERVILLE, IL 60540-4512
(630) 961-2893
Mailing address
148 N WASHINGTON ST, NAPERVILLE, IL 60540-4512
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000375
IL
Other
Enumeration date
05/01/2012
Last updated
08/03/2012
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