Individual
MICHAEL LACIDONIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
6400 FALLS OF NEUSE RD STE 200, RALEIGH, NC 27615
(919) 625-0043
Mailing address
6300 TERRA VERDE DR UNIT 102, RALEIGH, NC 27609-5593
(732) 581-4531
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
LAC-925
NC
Other
Enumeration date
11/08/2017
Last updated
06/26/2018
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