Individual
KATHLEEN LACHCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117-5114
(407) 430-5455
Mailing address
1470 CLEARWATER CT, LAKE MARY, FL 32746-5200
(407) 430-5455
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH29388
FL
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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