Individual
MRS. MICHELLE JOANNE LACROIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
122 CENTRAL AVE N, FARIBAULT, MN 55021-5211
(507) 331-2930
Mailing address
122 CENTRAL AVE N, FARIBAULT, MN 55021-5211
(507) 331-2930
(507) 334-9079
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1233
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70G40AC
BLUE CROSS BLUE SHIELD
MN
01
—
HP49620
HEALTHPARTNERS
MN
Enumeration date
12/04/2006
Last updated
07/17/2012
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