Individual
MS. LACEY MEDEARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
7488 E 29TH AVE, DENVER, CO 80238-2702
(720) 437-0435
Mailing address
10556 OLATHE ST, COMMERCE CITY, CO 80022-0520
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0002235
CO
Other
Enumeration date
09/09/2017
Last updated
09/09/2017
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