Individual
MS. DEBORAH STICKNEY LACZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, FOMT, NCTMB
Contact information
Practice address
2711 W SR 434, LONGWOOD, FL 32779-4880
(407) 862-5090
Mailing address
2711 W SR 434, LONGWOOD, FL 32779-4880
(407) 862-5090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA35774
FL
174400000X
Specialist
MM15363
FL
Other
Enumeration date
05/21/2007
Last updated
04/02/2020
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