Individual
DR. TRACY STEVEN VAN LAECKEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15640 N 7TH ST, SUITE #A3, PHOENIX, AZ 85022-3512
(602) 298-1600
(602) 298-6790
Mailing address
15640 N 7TH ST, SUITE #A3, PHOENIX, AZ 85022-3512
(602) 298-1600
(602) 298-6790
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1084
SD
111N00000X
Chiropractor
Primary
7703
AZ
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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