Individual
WYATT LACOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIC.AC.
Contact information
Practice address
7 MYSTIC ST STE 204, ARLINGTON, MA 02474-1136
(617) 694-9415
Mailing address
1016 MASSACHUSETTS AVE APT 1, ARLINGTON, MA 02476-4511
(617) 694-9415
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
253481
MA
Other
Enumeration date
03/01/2007
Last updated
03/07/2018
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