Individual
JAQUELINE S LACINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 LAWRENCE RD, BROOMALL, PA 19008-3747
(484) 450-6476
Mailing address
334 INDIAN ROCK DR, SPRINGFIELD, PA 19064-1925
(484) 326-9900
(610) 544-7142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011754
PA
Other
Enumeration date
12/21/2013
Last updated
12/21/2013
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