Healthcare Provider Details

I. General information

NPI: 1619867058
Provider Name (Legal Business Name): LUCIA ESPOSITO LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 W 22ND ST
NEW YORK NY
10010-5804
US

IV. Provider business mailing address

136 WAVERLY PL
NEW YORK NY
10014-6821
US

V. Phone/Fax

Practice location:
  • Phone: 917-771-0996
  • Fax:
Mailing address:
  • Phone: 917-771-0996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007753
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: