Individual
MIA PURIFICACION LAHOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, MSAOM, LAC
Contact information
Practice address
2131 S ARCHER AVE # BANDC, CHICAGO, IL 60616-1809
(312) 842-2775
Mailing address
4214 N ASHLAND AVE, CHICAGO, IL 60613-1202
(773) 749-0264
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000861
IL
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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