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Individual

MICHAELA LACKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC, MSOM

Contact information

Practice address
213 S WHEATON AVE, WHEATON, IL 60187-5207
(614) 419-3704
Mailing address
213 S WHEATON AVE, WHEATON, IL 60187-5207
(614) 419-3704

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001554
IL

Other

Enumeration date
02/23/2022
Last updated
02/23/2022
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