Organization
STACY JANE KLUCK, L.AC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY JANE KLUCK L.AC, LMT, CHTP (OWNER/ACUPUNCTURIST)
(512) 383-6359
Entity
Organization
Contact information
Practice address
3810 MEDICAL PKWY STE 231, AUSTIN, TX 78756-4014
(512) 383-6359
Mailing address
3810 MEDICAL PKWY STE 231, AUSTIN, TX 78756-4014
(512) 383-6359
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982945325
INDIVIDUAL PRACTITIONER NPI STACY JANE KLUCK
—
Enumeration date
01/16/2020
Last updated
01/16/2020
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