Organization
GLEN R. LACINSKI, D.C A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN ROBERT LACINSKI D.C. (PRESIDENT)
(520) 881-0451
Entity
Organization
Contact information
Practice address
1135 N CRAYCROFT RD, TUCSON, AZ 85712-4914
(520) 881-0451
Mailing address
1135 N CRAYCROFT RD, TUCSON, AZ 85712-4914
(520) 881-0451
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5075
AZ
Other
Enumeration date
03/31/2012
Last updated
05/29/2012
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