Individual
KRISTINA LACIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 S HEATHCOTE AVE, EDISON, NJ 08817-4774
(718) 987-9400
Mailing address
14 SOUTH HEATHCOTE AVE, EDISON, NJ 08817
(718) 987-9400
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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