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NPI Code Detail

MEDICARE: LAUREN ELIZABETH MILAZZO LAC

MEDICARE: LAUREN ELIZABETH MILAZZO LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist198.001414IL

General Provider Information

NPI Number : 1528524584
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ELIZABETH MILAZZO LAC
Provider Business Mailing Address
First Line : 187 N MYRTLE AVE
Second Line :
City : ELMHURST
State : IL
Zip : 60126-2626
Country : US
Telephone Number : 630-935-0669
Fax Number :
Provider Business Practice Location Address
First Line : 225 W HUBBARD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60654-4916
Country : US
Telephone Number : 773-598-4387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2019
Last Update Date : 02/14/2019

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Directions to “ LAUREN ELIZABETH MILAZZO LAC” Practice Location

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