Individual
LACEY CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4401 EGAN DR, SUITE 100, SAVAGE, MN 55378-2024
(952) 746-4162
Mailing address
9 7TH PL W, APT 300, SAINT PAUL, MN 55102-1145
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1704
MN
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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